Lattice degeneration surgery9/18/2023 ![]() ![]() Lattice degeneration associated with retinal tears is treated with a barrier laser in the office to decrease the risk of the development of retinal detachment. Common symptoms may include floaters and flashing lights. ![]() Lattice degeneration may be found on routine examination of the retina, and some patients may not experience any symptoms at all. Diagnosis and Symptoms of Lattice Degeneration Lattice degeneration is found in 10 percent of the general population, but 40 percent of people with retinal detachments are found to have lattice degeneration in the peripheral retina. The tears and holes may then lead to retinal detachment in some patients. Since the retina overlying lattice degeneration is thinner than normal, it can be predisposed to developing tears or holes. Lattice degeneration is common and usually found in myopic (nearsighted) individuals. Lattice degeneration describes a condition in which an area of the peripheral retina is very thin. Below are other conditions that your retina specialist may find while examining your peripheral retina. For example, a retinal tear or retinal detachment can be found in the peripheral retina. The peripheral retina comprises over 90 percent of the retina and is responsible for our peripheral and night vision.Īlthough macular diseases such as age-related macular degeneration (AMD) and diabetic macular edema are more common and generally more serious, there are a number of important and sometimes dangerous conditions that can occur in the peripheral retina. The macula is in the center of the retina and is responsible for our fine, central, and color vision. The retina can be divided into two main anatomic regions – the macula and the peripheral retina. Common Eye Surface Problems - Blepharitis, Dry Eye, Subconjuntival Hemorrhage.Idiopathic Parafoveal Telangiectsasia (PFT).Central Serous Retinopathy / Chorioretinopathy.Retinal Artery Occlusion (CRAO and BRAO).Peripheral Retinal Pathology - Lattice Degeneration, White Without Pressure, Pigmented Lesions and Masses.Panretinal Photocoagulation (PRP) Laser.Posterior vitreous detachment Retinal tear Rhegmatogenous retinal detachment.Ĭopyright © 2021 American Academy of Ophthalmology. Several patient features strongly predicted the presence of initial and late complications of acute PVD. This study, based in a comprehensive eye care setting, found the rate of RT and RRD associated with acute PVD to be lower than rates previously reported by retina subspecialty practices. ![]() Refractive error had an approximately linear relationship with age at presentation of PVD, with myopic patients presenting at a younger age (r = 0.4). Late RTs or RRDs occurred in 12.4% of patients who had vitreous hemorrhage, lattice degeneration, or a history of RT or RRD in the fellow eye at initial presentation but only 0.7% of patients without any of these 3 risk factors. Examination variables associated with a high risk of RT or RRD included vitreous pigment (OR, 57.0 CI, 39.7-81.7), vitreous hemorrhage (OR, 5.9 CI, 4.6-7.5), lattice degeneration (OR, 6.0 CI, 4.7-7.7), and visual acuity worse than 20/40 (OR, 3.0 CI, 2.5-3.7). When considering variables available before examination, blurred vision (odds ratio, 2.7 confidence interval, 2.2-3.3), male sex (OR, 2.1 CI, 1.8-2.5), age < 60 years (OR, 1.8 CI, 1.5-2.1), prior keratorefractive surgery (OR, 1.6 CI, 1.3-2.0), and prior cataract surgery (OR, 1.4 CI, 1.2-1.8) were associated with higher risk of RT or RRD, whereas symptoms of flashes were mildly protective (OR, 0.8 CI, 0.7-0.9). Of 8305 patients who presented with acute PVD symptoms, 448 (5.4%) were diagnosed with RT and 335 (4.0%) were diagnosed with RRD. Presence of RT or RRD at initial presentation or within 1 year thereafter. Each chart was reviewed to confirm diagnoses and capture specific data elements from the patient history and ophthalmic examination. The KPNC electronic medical record was queried to capture acute, symptomatic PVD events. To evaluate the risk factors for retinal tear (RT) or rhegmatogenous retinal detachment (RRD) associated with acute, symptomatic posterior vitreous detachment (PVD) in a large comprehensive eye care setting.Ī total of 8305 adult patients in the Kaiser Permanente Northern California Healthcare System (KPNC) during calendar year 2018 who met inclusion criteria. ![]()
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