Criss-Crossing!

𝘓𝘢𝘵𝘵𝘪𝘤𝘦 𝘋𝘦𝘨𝘦𝘯𝘦𝘳𝘢𝘵𝘪𝘰𝘯⁣⁣ ⁣⁣ ● Peripheral retinal degeneration with spindle-shaped areas of retinal thinning, most common degeneration to cause retinal detachment⁣⁣ ⁣⁣ ● 8-10% incidence⁣⁣ ⁣⁣ ● Present in 20-30% of Rhegmatogenous RD⁣⁣ ⁣⁣ ● Symmetrical and bilateral, most common superiorly⁣⁣



⁣⁣ 𝐀𝐩𝐩𝐞𝐚𝐫𝐚𝐧𝐜𝐞:⁣⁣ ⁣⁣ ● Elongated lesions with long axis parallel to the ora serrata, located in the peripheral retina, usually hyperpigmented and mottled looking⁣⁣ ● Sclerosed white vessels display criss-crossing pattern - the appearance responsible for the term ‘lattice’⁣⁣ ● Abnormal pigmentation - most common finding - increases with age⁣⁣ ● Tiny white or yellow flecks between retinal surface and vitreous cortex ⁣⁣ ⁣⁣ 𝐇𝐢𝐬𝐭𝐨𝐥𝐨𝐠𝐲:⁣⁣ ⁣⁣ ● Discontinuity of internal limiting membrane⁣⁣ ● Overlying area of liquified vitreous⁣⁣ ● Condensation and exaggerated adherence of vitreous gel at margin of lesion⁣⁣ ● Atrophy of inner retina⁣⁣ ⁣⁣ 𝐈𝐧𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬 𝐟𝐨𝐫 𝐭𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭:⁣⁣ ⁣ Lattice without retinal breaks - no treatment⁣⁣ Lattice with atrophic holes - no treatment⁣⁣ Lattice + holes + subclinical RD - barrage laser⁣⁣ Lattice + traction tear - treat if fellow eye has RD/ family history of RD/ aphakia Asymptomatic traction tear- no treatment⁣⁣ Acute symptomatic tear- treat in phakics and aphakics⁣⁣ ⁣⁣ www.ophthalmobytes.com⁣⁣ ⁣⁣ Image from Rajan Eye Care Hospital #ophthalmology #ophthal #doctor #health #medical #vision #education #optometry #medicalstudent #optometrist #medicine #eye #ophtho #ophthalmologist #ophthalmo #med #medicaleducation #ophthalmologyresident #ophthalmologyresidency #retina #peripheralretina #latticedegeneration #retinaldetachent #RD#RD #retinalbreak#retinalbreak #vitreous#vitreous⁣⁣ ⁣

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