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White Retina!

𝘞𝘩𝘪𝘵𝘦 𝘞𝘪𝘵𝘩𝘰𝘶𝘵 𝘗𝘳𝘦𝘴𝘴𝘶𝘳𝘦⁣ ⁣ Incidence increases with age and increased axial length ⁣ ⁣ 𝐀𝐩𝐩𝐞𝐚𝐫𝐚𝐧𝐜𝐞:⁣ ● Translucent white- gray appearance of the equator/ peripheral retina seen without scleral depression⁣ ● Bilateral, Maybe circumferential⁣ ● Bounded posteriorly by reddish brown line⁣ ● Sharply demarcated margins⁣ ⁣ ● Misdiagnosed as retinal detachment/retinoschisis⁣ ● Scleral indentation reveals that retina is opposed to underlying RPE⁣ ● May have scalloped borders (sign of possible progression), migratory in nature⁣ ● The size, shape and location of WWOP might change over time⁣

⁣ 𝐀𝐬𝐬𝐨𝐜𝐢𝐚𝐭𝐢𝐨𝐧𝐬:⁣ ● Maybe associated with lattice degeneration/ snowflake degeneration⁣ ● Associated with vitreous degeneration and PVD⁣ ● Horseshoe or linear tears can develop along posterior order of WWOP due to traction of PVD⁣ ● Vitreoretinal traction is known to be associated with WWOP and is strongly implicated in the genesis of retinal tears and subsequent retinal detachments⁣ ⁣ 𝐂𝐨𝐧𝐭𝐫𝐢𝐛𝐮𝐭𝐢𝐧𝐠 𝐟𝐚𝐜𝐭𝐨𝐫𝐬​ 𝐭𝐨 𝐭𝐡𝐞 𝐝𝐞𝐯𝐞𝐥𝐨𝐩𝐦𝐞𝐧𝐭 𝐨𝐟 𝐫𝐞𝐭𝐢𝐧𝐚𝐥 𝐛𝐫𝐞𝐚𝐤𝐬:⁣ ● Presence of lattice degeneration⁣ ● Scalloped borders (suggesting progression over time)⁣ ● Shrinkage of the vitreous⁣ ● Elevated tractional membrane ⁣ ⁣ 𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐩:⁣ ● Patients with this condition should know that it carries a low risk for complications but that it is important to report symptoms or signs of traction and breaks immediately⁣ ● Follow up at 1- to 2-year intervals, depending on the presence of other associated risk factors.⁣ ● The patient should be reexamined every 6 months if the posterior borders of the WWOP are scalloped and there is extensive vitreous degeneration⁣ ⁣⁣ ⁣ 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 #whitewithoutpressure #retinalbreaks #retinaldetachment #posteriorvitreousdetachment #peripheralretina

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