Neovascularization of the iris in retinoschisis

Geraldine R Slean; Arthur D Fu; Judy Chen; Ananda Kalevar

doi:10.1016/j.ajoc.2017.06.019

Neovascularization of the iris in retinoschisis

Am J Ophthalmol Case Rep. 2017 Jun 22:7:99-101. doi: 10.1016/j.ajoc.2017.06.019. eCollection 2017 Sep.

Authors

Geraldine R Slean¹, Arthur D Fu^{1

2}, Judy Chen^{1

2}, Ananda Kalevar^{1

2}

Affiliations

¹ Department of Ophthalmology, California Pacific Medical Center, 711 Van Ness, Suite 250, San Francisco, CA, 94102, USA.
² West Coast Retina, 1445 Bush Street, San Francisco, CA, 94109, USA.

Abstract

Purpose: To report the association of rubeosis iridis with chronic bullous degenerative peripheral retinoschisis.

Observations: A 63-year-old female presented with acute hyphema and neovascularization of the iris in association with elevated intraocular pressure. Posterior segment examination including imaging revealed no vascular occlusion as a potential cause. However, large, peripheral bullous retinoschisis was noted in the right eye. No nonperfusion aside from that seen within the schism detachment, or neovascularization of the retina on wide-field fundus photography or fluorescein angiography was noted. Bullous retinoschisis was also found in the left eye. The patient was treated conservatively with prednisolone acetate and timolol eye drops.

Conclusions and importance: Chronic bullous retinoschisis can be associated with anterior segment neovascularization such as rubeosis iridis, presumably due to non-perfusion within the retinoschisis cavity.

Keywords: Iris neovascularization; Rubeosis iridis; Senile retinoschisis.

Publication types

Case Reports