PMID- 24409088 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20140110 LR - 20211021 IS - 1319-4534 (Print) IS - 1319-4534 (Linking) VI - 27 IP - 4 DP - 2013 Oct TI - Macular hole in juvenile X-linked retinoschisis. PG - 283-6 LID - 10.1016/j.sjopt.2013.05.001 [doi] AB - An 18 year-old male with no antecedent of trauma, systemic syndrome or myopia was referred for surgical treatment of a full thickness macular hole in the left eye. A more careful inspection revealed discrete foveal cystic changes in the fellow eye and subtle peripheral depigmented retinal pigment epithelial changes in both eyes. A spectral-domain optical coherence tomography (SD-OCT) scan confirmed, in addition to the full thickness macular hole in the left eye, microcystic spaces in the nuclear layers of both retinae. The diagnosis of X-linked retinoschisis was confirmed with a full field electroretinogram displaying the typical negative ERG. Macular holes are uncommon in the young and those complicating X-linked retinoschisis are rare. This report highlights the importance of investigating the presence of a macular hole in a young patient and illustrates the clinical and SD-OCT clues beyond the foveal center which led to the correct diagnosis of X-linked juvenile retinoschisis. FAU - Al-Swaina, Nayef AU - Al-Swaina N AD - Residency in Ophthalmology Program - Riyadh Area, Saudi Arabia. FAU - Nowilaty, Sawsan R AU - Nowilaty SR AD - Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia. LA - eng PT - Journal Article DEP - 20130530 PL - India TA - Saudi J Ophthalmol JT - Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society JID - 9425601 PMC - PMC3885969 OTO - NOTNLM OT - Macular hole OT - Retinoschisis OT - Spectral-domain optical coherence tomography EDAT- 2014/01/11 06:00 MHDA- 2014/01/11 06:01 PMCR- 2013/05/30 CRDT- 2014/01/11 06:00 PHST- 2013/04/27 00:00 [received] PHST- 2013/05/21 00:00 [accepted] PHST- 2014/01/11 06:00 [entrez] PHST- 2014/01/11 06:00 [pubmed] PHST- 2014/01/11 06:01 [medline] PHST- 2013/05/30 00:00 [pmc-release] AID - S1319-4534(13)00049-0 [pii] AID - 10.1016/j.sjopt.2013.05.001 [doi] PST - ppublish SO - Saudi J Ophthalmol. 2013 Oct;27(4):283-6. doi: 10.1016/j.sjopt.2013.05.001. Epub 2013 May 30.