PMID- 29303151 OWN - NLM STAT- MEDLINE DCOM- 20181211 LR - 20190401 IS - 1476-5454 (Electronic) IS - 0950-222X (Print) IS - 0950-222X (Linking) VI - 32 IP - 4 DP - 2018 Apr TI - Swept-source and optical coherence tomography angiography in patients with X-linked retinoschisis. PG - 707-715 LID - 10.1038/eye.2017.281 [doi] AB - PurposeTo explore the structural features of juvenile X-linked retinoschisis (XLRS) using swept-source-optical coherence tomography (SS-OCT) and optical coherence tomography angiography (OCT-A).DesignRetrospective, observational cross-sectional study.Patients and methodsNine patients (18 eyes) diagnosed with juvenile XLRS were included. SS-OCT and OCT-A were used to evaluate the characteristics of the inner/outer retina and the choroid.ResultsSS-OCT showed that the inner nuclear layer (INL) was the most commonly affected area (16/18 eyes; 89%). No significant differences in central macular thickness (CMT) or subfield choroidal thickness (SFCT) were evidenced between eyes (CMT: 364 mum in the right eye vs 320 mum in the left eye; SFCT: 305 vs 307 mum; P=0.895). Best-corrected visual acuity (BCVA) did not correlate with CMT (rs= -0.19; P=0.445) or SFCT (rs=0.06; P=0.795). BCVA was significantly correlated with the following defects: outer plexiform layer (OPL; rs=0.50; P=0.036); external limiting membrane (ELM; rs=0.65; P=0.003); ellipsoid portion of inner segment (EPIS; rs=0.67; P=0.002); and the cone outer segment tips (COST; rs=0.69; P=0.001). Schisis at the INL revealed a spoke-like pattern in the foveal region and a reticular pattern in the parafoveal region on en-face imaging. In cases in which the schisis affected the OPL, multiple polygonal hyporeflective cavities were observed in the foveal region.ConclusionsThe hyporeflective spaces on SS-OCT were primarily located at the INL and OPL. BCVA did not correlate with CMT or SFCT; however, ELM, EPIS, and COST defects were significantly correlated with worse BCVA. There was a positive correlation between age and SFCT. FAU - Padron-Perez, N AU - Padron-Perez N AD - Department of Ophthalmology, Bellvitge University Hospital, Barcelona, Spain. FAU - Catala-Mora, J AU - Catala-Mora J AD - Department of Ophthalmology, Bellvitge University Hospital, Barcelona, Spain. AD - Department of Ophthalmology, Sant Joan de Deu Hospital, Barcelona, Spain. FAU - Diaz, J AU - Diaz J AD - Department of Ophthalmology, Sant Joan de Deu Hospital, Barcelona, Spain. AD - Department of Ophthalmology, Sant Pau Hospital, Barcelona, Spain. FAU - Arias, L AU - Arias L AD - Department of Ophthalmology, Bellvitge University Hospital, Barcelona, Spain. FAU - Prat, J AU - Prat J AD - Department of Ophthalmology, Sant Joan de Deu Hospital, Barcelona, Spain. FAU - Caminal, J M AU - Caminal JM AD - Department of Ophthalmology, Bellvitge University Hospital, Barcelona, Spain. LA - eng PT - Journal Article PT - Observational Study DEP - 20180105 PL - England TA - Eye (Lond) JT - Eye (London, England) JID - 8703986 SB - IM MH - Adolescent MH - Adult MH - Angiography/*methods MH - Child MH - Cross-Sectional Studies MH - *Diagnostic Techniques, Ophthalmological MH - Female MH - Fovea Centralis/pathology MH - Humans MH - Male MH - Retinoschisis/*diagnostic imaging/pathology/physiopathology MH - Retrospective Studies MH - Tomography, Optical Coherence/*methods MH - Visual Acuity/physiology MH - Young Adult PMC - PMC5898861 COIS- The authors declare no conflict of interest. EDAT- 2018/01/06 06:00 MHDA- 2018/12/12 06:00 PMCR- 2019/04/01 CRDT- 2018/01/06 06:00 PHST- 2017/04/29 00:00 [received] PHST- 2017/10/02 00:00 [accepted] PHST- 2018/01/06 06:00 [pubmed] PHST- 2018/12/12 06:00 [medline] PHST- 2018/01/06 06:00 [entrez] PHST- 2019/04/01 00:00 [pmc-release] AID - eye2017281 [pii] AID - 10.1038/eye.2017.281 [doi] PST - ppublish SO - Eye (Lond). 2018 Apr;32(4):707-715. doi: 10.1038/eye.2017.281. Epub 2018 Jan 5.