A Teenager’s Worsening Vision

A 19-year-old male presents with acute vision loss and retinal detachment, building on a childhood history of macular cystic degeneration. What’s the link?

X-linked retinoschisis


A 19-year-old man presented with a 3-day history of worsening vision in his right eye. He had previously presented at 5 years of age with reduced visual acuity and macular cystic degeneration in both eyes. Examination of the right fundus is shown. Optical coherence tomography revealed a full-thickness retinal detachment. What is the underlying condition?

What is the most likely diagnosis?

X-linked retinoschisis
Goldmann-Favre syndrome
Eales disease
Wagner syndrome
Familial exudative vitreoretinopathy

Genetics, Macular Degeneration, Ophthalmology, Retinal Detachment, X-linked retinoschisis

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