Use of topical dorzolamide in a patient with X-linked juvenile retinoschisis
Journal Title: Scholars Journal of Medical Case Reports - Year 2017, Vol 5, Issue 2
Abstract
Abstract: We present a patient with X-linked juvenile retinoschisis before and after a topical use of dorzolamide. Ophthalmologic examinations showed a best corrected visual acuity (BCVA) of 0.3 in the right eye and 0.5 in the left eye. Fundoscopy demonstrated the typical stellate maculopathy of radiating cystoid spaces. Moreover, optical coherence tomography (OCT) results revealed a cleavage of the retina with thin-walled, vertical palisades separated by low reflective cystoid spaces. The patient was instructed to apply 2% dorzolamide three times daily in each eye. During a 3-month treatment period, OCT revealed a marked improvement in the foveal cystic lesions in the right eye, but not in the left eye. Moreover, BCVA was 0.6 in the right eye and 0.5 in the left eye after the 3-month treatment with dorzolamide. Our findings suggest that topical dorzolamide have some effect on improving foveal cystic lesions but it does not improve BCVA significantly. Keywords: X-linked juvenile retinoschisis, optical coherence tomography, carbonic anhydrase inhibitors, dorzolamide.
Authors and Affiliations
Shinji Makino
Keywords
Related Articles
- EP ID EP378928
- DOI -
- Views 79
- Downloads 0
Anomalies of Foetal Liver in South Indian population: Case Study
We have observed liver anomalies in two aborted foetuses during routine dissection for the medical undergraduates at Sri Venkateswara Medical College, Tirupati, Andhra Pradesh. We have observed one foetus with tongue lik...
Large Placental Chorangiomas: Rare Case Report
In clinical practice, constipation is a common complaint and rarely secondary to endocrine or metabolic causes. We present here a case of an elderly male who presented with constipation was found to be having hypercalcem...
Restricted Cervical Spine: An Anaesthetic Challenge
Failure to successfully intubate the trachea and secure the airway in a timely and effective manner remains a leading cause of mortality and morbidity .When airway management is difficult, various measures can be taken t...
A Rare Cause of Lung Mass in Young Adult: a Case Report
Synovial sarcoma is usually seen as palpable masses in the large joints of the extremities. Pulmonary involvement is an extremely rare accounting for less than 0.5% of all lung tumors. Commonly seen in young people. Ches...
Giant adrenal myelolipoma with contralateral staghorn calculus
Myelolipoma as the name suggests it comprises of hemopoietic elements (erythrocytes, leukocytes megakaryocytes) and adipose tissue. Most commonly it arises from adrenal gland. Mostly these masses are non-functional and b...