Neovascularization of the iris in retinoschisis

Neovascularization of the iris in retinoschisis

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Purpose: To report the association of rubeosis iridis with chronic bullous degenerative peripheral retinoschisis.Observations: A 63-year-old female presented with acute Kits 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 Gastrointestinal - Enemas 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.