Original ArticlesCONGENITAL X-LINKED RETINOSCHISIS: A NOVEL APPROACH FOR MANAGEMENT OF A LARGE SCHITIC CAVITY OVERHANGING THE MACULARishi, Ekta MS; Gopal, Lingam MS; Rishi, Pukhraj MS; Deshmukh, Himanshu DOAuthor Information From Shri Bhagwan Mahavir Vitreoretinal Services, Medical Research Foundation, Sankara Nethralaya, Chennai, India. Reprint requests: Pukhraj Rishi, Shri Bhagwan Mahavir Vitreoretinal Services, Medical Research Foundation, Sankara Nethralaya, Chennai 600006, India; e-mail: [email protected] Retinal Cases & Brief Reports: Winter 2009 - Volume 3 - Issue 1 - p 105-107 doi: 10.1097/ICB.0b013e3181658cc1 Buy Metrics AbstractIn Brief Purpose: To describe a novel surgical technique used in the management of a patient with congenital X-linked juvenile retinoschisis who presented with a schitic cavity overhanging the macula. Methods: The patient underwent controlled external fluid drainage and laser photocoagulation along with intravitreal gas injection. Results: No intraoperative complication was noted. Postoperatively, the schitic cavity collapsed, the overhang resolved, and visual acuity improved. Conclusion: External drainage is a promising novel technique for the management of patients with congenital X-linked juvenile retinoschisis who have peripheral retinoschisis overhanging the macula. Congenital X-linked retinoschisis associated with a large schitic cavity overhanging the macula was managed with controlled external drainage. The schitic cavity flattened with visual improvement at the 6-month follow-up. © 2009 Ophthalmic Communications Society, Inc.