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Showing posts from October, 2018

Lattice degeneration;

Lattice degeneration; ✍️ 5% to 10% of the population, varies in extensiveness but 30% of all RRDs. ✍️ It is commoner in myopes and connective tissue syndromes ( Stickler). ✍️ usually asymptomatic. ✍️ typically detected as an incidental finding during routine ophthalmoscopy. ✍️ Clinically ☝️Thin, well-demarcated, pigmented ovoid patches of retina ☝️ typically circumferential but may be radial ( in Stickler). ☝️Within the involved area, there may be sclerotic vessels or atrophic holes. ☝️Although usually darkly pigmented, it may appear hypopigmented ☝️The vitreous overlying lattice degeneration is liquefied while on the edges of lattice, there is firm vitreoretinal adhesion ✅ complications ✍️ Retinal tears may occur at posterior margin and at the ends of areas of lattice (due to strong vitreous adhesion) ✍️ retinal detachment. ☝️in only 1% of patients with lattice degeneration. ☝️Prophylactic laser treatment is not usually performed in asymptomatic eye