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No HPO annotations are available for this condition.
X-linked congenital retinoschisis (XLRS) is a symmetric bilateral macular disorder with onset in the first decade of life in males, and, in some instances, as early as age three months. Affected males generally present with reduction in vision by early elementary school. Affected males typically have vision of 20/60 to 20/120 on first presentation. Visual acuity may deteriorate slightly during the first and second decades of life but then remains relatively stable until the fifth or sixth decade, when slowly progressive macular atrophy can occur . Visual loss may later progress to legal blindness (acuity 20/200). Some men show macular pigmentary changes after age 50 years; some degree of atrophy of the retinal pigment epithelium is common.
X-linked congenital retinoschisis (XLRS) should be suspected in males with following ophthalmologic findings and family history.
Ophthalmologic findings
Source: GeneReviews — "X-Linked Congenital Retinoschisis"
No approved treatments are currently available for vitreoretinal degeneration. The disease remains an area of unmet medical need.
To establish the extent of disease and needs in an individual diagnosed with X-linked congenital retinoschisis (XLRS), the following evaluations (if not performed as part of the evaluation that led to the diagnosis) are recommended:
Annual evaluation of children younger than age ten years by a pediatric ophthalmologist to diagnose refractive errors or by a retina specialist to examine the peripheral retina for schisis or detachment is recommended. Older children and adults need less frequent monitoring as they would be more apt to report changes in vision. Patient education and close follow up are the only clinical options that may allow for early identification and treatment of vision-threatening complications such as retinal detachment (Orphanet, accessed 11-2-20).
No clinical trials have been registered for vitreoretinal degeneration.
12 publications have been identified in PubMed for vitreoretinal degeneration. Research spans Case Report / Case Series (75%), Review / Meta-Analysis (8%), and Basic Science / Preclinical (8%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 9 | 75% |
Data assembled from 4 of 12 sources · Last updated Sep 20, 2026, 11:11 AM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Source: GeneReviews — "X-Linked Congenital Retinoschisis"
While the presence of retinoschisis in an individual with a positive family history of X-linked congenital retinoschisis (XLRS) establishes the diagnosis in that person, making the diagnosis in a male with no known family history may be more difficult.
Hereditary Disorders
Table 2.
Genes of Interest in the Differential Diagnosis of X-Linked Congenital Retinoschisis
Gene | Disorder | MOI | Clinical Features of Differential Diagnosis Disorder | Distinguishing Features
CACNA1F
NYX | X-linked congenital stationary night blindness | XL | Electronegative ERG may mimic XLRS. | XLRS rarely presents w/complaint of "night blindness."
| Goldmann-Favre vitreoretinal degeneration enhanced S-cone syndrome (OMIM 268100) | AR | May mimic XLRS. Onset in infancy. Severely impaired vision incl marked visual fi...
Source: GeneReviews — "X-Linked Congenital Retinoschisis"
Best corrected visual acuity
Refractive error
Possible amblyopia
Visual fields, by Goldmann or other perimetry
Fundoscopic examination
Optical coherence tomography
Electroretinogram; confirmatory for half or more of cases by an electronegative configuration or b-wave amplitude reduction disproportionate to a-wave loss
Consultation with a medical geneticist, certified genetic counselor, or certified advanced genetic nurse for the purpose of informing affected individuals and their families about the nature, mode of inheritance, and implications of XLRS in order to facilitate medical and personal decision making
Note: interviewed and surveyed parents of sons following a confirmed diagnosis of XLRS and describe ways in which medical professionals can optimally support affected individuals and their families.
Refractive errors and amblyopia. Management is per standard care. Note that amblyopia prevention therapy is indicated following surgical intervention to treat vitreous hemorrhage or retinal detachment, or in cases of severe retinoschisis or hypermetropia . Surgical intervention.
Source: GeneReviews — "X-Linked Congenital Retinoschisis"
View trials for vitreoretinal degeneration
1 |
8% |
Laboratory research | 1 | 8% |
Disease patterns and progression | 1 | 8% |
Asadollahzadeh E (2026). [PMID: 41767075](https://pubmed.ncbi.nlm.nih.gov/41767075/). *Clinical case reports*. [Case Report / Case Series]
Pattnaik BR (2026). [PMID: 42199967](https://pubmed.ncbi.nlm.nih.gov/42199967/). *Ophthalmol Sci*. [Case Report / Case Series]
Al-Qahtani F (2026). [PMID: 41715899](https://pubmed.ncbi.nlm.nih.gov/41715899/). *The American journal of case reports*. [Case Report / Case Series]
Puchol-Rizo M (2026). [PMID: 41997526](https://pubmed.ncbi.nlm.nih.gov/41997526/). *Arch Soc Esp Oftalmol (Engl Ed)*. [Case Report / Case Series]
Shiromani S (2025). [PMID: 40913739](https://pubmed.ncbi.nlm.nih.gov/40913739/). *Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie*. [Review / Meta-Analysis]
Carmant LS (2025). [PMID: 40524352](https://pubmed.ncbi.nlm.nih.gov/40524352/). *Prenatal diagnosis*. [Case Report / Case Series]
August AH (2025). [PMID: 39902400](https://pubmed.ncbi.nlm.nih.gov/39902400/). *American journal of ophthalmology case reports*. [Case Report / Case Series]
Domenach L (2025). [PMID: 39994693](https://pubmed.ncbi.nlm.nih.gov/39994693/). *BMC medical genomics*. [Case Report / Case Series]
Zhong A (2025). [PMID: 40140649](https://pubmed.ncbi.nlm.nih.gov/40140649/). *Ophthalmic genetics*. [Basic Science / Preclinical]
Anter AM (2024). [PMID: 39547541](https://pubmed.ncbi.nlm.nih.gov/39547541/). *Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus*. [Epidemiology / Natural History]