Criss-Crossing!
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β Peripheral retinal degeneration with spindle-shaped areas of retinal thinning, most common degeneration to cause retinal detachmentβ£β£ β£β£
β 8-10% incidenceβ£β£ β£β£
β Present in 20-30% of Rhegmatogenous RDβ£β£ β£β£
β Symmetrical and bilateral, most common superiorlyβ£β£
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β Elongated lesions with long axis parallel to the ora serrata, located in the peripheral retina, usually hyperpigmented and mottled lookingβ£β£
β Sclerosed white vessels display criss-crossing pattern - the appearance responsible for the term βlatticeββ£β£
β Abnormal pigmentation - most common finding - increases with ageβ£β£
β Tiny white or yellow flecks between retinal surface and vitreous cortex β£β£ β£β£
ππ’π¬ππ¨π₯π¨π π²:β£β£ β£β£
β Discontinuity of internal limiting membraneβ£β£
β Overlying area of liquified vitreousβ£β£
β Condensation and exaggerated adherence of vitreous gel at margin of lesionβ£β£
β Atrophy of inner retinaβ£β£ β£β£
ππ§ππ’ππππ’π¨π§π¬ ππ¨π« ππ«ππππ¦ππ§π:β£β£ β£
Lattice without retinal breaks - no treatmentβ£β£
Lattice with atrophic holes - no treatmentβ£β£
Lattice + holes + subclinical RD - barrage laserβ£β£
Lattice + traction tear - treat if fellow eye has RD/ family history of RD/ aphakia
Asymptomatic traction tear- no treatmentβ£β£
Acute symptomatic tear- treat in phakics and aphakicsβ£β£ β£β£
www.ophthalmobytes.comβ£β£ β£β£
Image from Rajan Eye Care Hospital
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