Ophthalmological

X-Linked Retinoschisis

Also known as XLRS, juvenile retinoschisis, RS1 deficiency

X-Linked Retinoschisis is a vitreoretinal dystrophy caused by mutations in the RS1 gene encoding retinoschisin, a protein secreted by photoreceptors that maintains the structural integrity of the retina through cell-to-cell adhesion. Loss o

ORPHA:792 ↗Gene RS1Prevalence 1 per 5,000–25,000 malesOnset Early childhood (usually detected by school age)X-linked recessive

6

studies recruiting now

as of 7 Sept 2026

15

studies registered in total

as of 7 Sept 2026

3

countries with a recruiting site

as of 7 Sept 2026

31 Mar 2026

most recent study posted

among recruiting studies

Recruiting trials

Showing the 5 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

See all 6 recruiting studies

Where recruiting studies are running

Countries with at least one recruiting site among the studies above, 7 Sept 2026. Tap a country to search trials there.

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About X-Linked Retinoschisis

X-Linked Retinoschisis is a vitreoretinal dystrophy caused by mutations in the RS1 gene encoding retinoschisin, a protein secreted by photoreceptors that maintains the structural integrity of the retina through cell-to-cell adhesion. Loss of retinoschisin leads to splitting (schisis) of the retinal layers, most prominently in the fovea, resulting in reduced visual acuity that is typically identified in affected boys between three and ten years of age. The disease is stationary or slowly progressive in many patients, though complications such as vitreous haemorrhage and retinal detachment can cause acute vision loss.

Common clinical features

Reduced central visual acuity (typically 20/60 to 20/120)Foveal schisis visible on OCT as cystic spacesSpoke-wheel or stellate pattern at the fovea on fundus examinationPeripheral schisis in approximately 50% of patientsElectronegative ERG (markedly reduced b-wave relative to a-wave)Strabismus or nystagmus in some childrenRisk of vitreous haemorrhageRisk of retinal detachment

From Orphanet’s phenotype annotations (CC BY 4.0). Not a complete list.

Treatments being studied

1 in clinical development, from Open Targets (CC BY 4.0). Not medical advice.

Phase 2Acetazolamide (Acetazolamide)

Before you apply

Things trial teams commonly ask about for X-Linked Retinoschisis. Not eligibility rules; those are set by each study.

  • Molecular confirmation of a pathogenic RS1 variant is required for gene therapy trials; testing of at-risk male relatives is recommended to identify additional eligible patients.
  • Foveal cyst architecture on OCT is used as both a diagnostic and monitoring biomarker; baseline and recent OCT scans should be available for screening visits.
  • Some trials exclude patients with prior retinal detachment surgery or vitrectomy; disclose full surgical history during screening.

Related conditions

Information, not medical advice. Trial listings are shown as recorded on ClinicalTrials.gov; whether any study is right for you is a decision for you and your clinicians, and eligibility is decided by each research team. Disease information from Orphanet (CC BY 4.0).