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HEREDITARY VITREORETINAL DEGENERATIONS. 1. Stickler syndrome. 2. Congenital retinoschisis. 3. Favre-Goldmann syndrome. 4. Familial exudative vitreoretinopathy. Stickler syndrome. Inheritance - dominant. Presents - firstst decade. Prognosis - RD in 30%. Vitreous. Retina.
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HEREDITARY VITREORETINAL DEGENERATIONS 1. Stickler syndrome 2. Congenital retinoschisis 3. Favre-Goldmann syndrome 4. Familial exudative vitreoretinopathy
Stickler syndrome Inheritance - dominant Presents - firstst decade Prognosis - RD in 30% Vitreous Retina • Empty central cavity • Radial lattice-like degeneration • Membranes extending into cavity • RPE hyperplasia
Ocular associations of Stickler syndrome Congenital non-progressive high myopia (85%) Wedge-shaped cataract (40%) Ectopia lentis (10%) Glaucoma (10%)
Systemic features of Stickler syndrome Facial anomalies Arthropathy • Kyphoscoliosis • Depressed nasal bridge • and midfacial hypoplasia • Joint hyperflexibility • Peripheral • arthropathy • Micrognathia, glossoptosis • and cleft palate
Congenital retinoschisis Inheritance - X-linked Presents - first decade with maculopathy Prognosis - poor (maculopathy, vitreous haemorrhage) ERG - decreased b-wave Maculopathy (100%) Retinoschisis (50%) • Extremely thin inner layer • ‘Bicycle-wheel’ striae • Round inner layer defects • Eventually atrophic
Favre-Goldmann syndrome Inheritance - recessive Presents - first decade with nyctalopia Prognosis - poor ERG - reduced • Vitreous liquefaction • Retinoschisis • Pigmentary retinopathy • White, dendritiform, arborescent peripheral lesions
Familial exudative vitreoretinopathy Inheritance - dominant Presents - infancy Prognosis - poor (RD, vitreous haemorrhage and cataract ) Temporal fibrovascular proliferation similar to ROP Temporal dragging of disc and macula