White Retina
๐๐ฉ๐ช๐ต๐ฆ ๐๐ช๐ต๐ฉ๐ฐ๐ถ๐ต ๐๐ณ๐ฆ๐ด๐ด๐ถ๐ณ๐ฆโฃ โฃ
Incidence increases with age and increased axial length โฃ โฃ
๐๐ฉ๐ฉ๐๐๐ซ๐๐ง๐๐:โฃ
โ Translucent white- gray appearance of the equator/ peripheral retina seen without scleral depressionโฃ
โ Bilateral, Maybe circumferentialโฃ
โ Bounded posteriorly by reddish brown lineโฃ
โ Sharply demarcated marginsโฃ โฃ
โ Misdiagnosed as retinal detachment/retinoschisisโฃ
โ Scleral indentation reveals that retina is opposed to underlying RPEโฃ
โ May have scalloped borders (sign of possible progression), migratory in natureโฃ
โ The size, shape and location of WWOP might change over timeโฃ
๐๐ฌ๐ฌ๐จ๐๐ข๐๐ญ๐ข๐จ๐ง๐ฌ:โฃ
โ Maybe associated with lattice degeneration/ snowflake degenerationโฃ
โ Associated with vitreous degeneration and PVDโฃ
โ Horseshoe or linear tears can develop along posterior order of WWOP due to traction of PVDโฃ
โ Vitreoretinal traction is known to be associated with WWOP and is strongly implicated in the genesis of retinal tears and subsequent retinal detachmentsโฃ โฃ
๐๐จ๐ง๐ญ๐ซ๐ข๐๐ฎ๐ญ๐ข๐ง๐ ๐๐๐๐ญ๐จ๐ซ๐ฌโ ๐ญ๐จ ๐ญ๐ก๐ ๐๐๐ฏ๐๐ฅ๐จ๐ฉ๐ฆ๐๐ง๐ญ ๐จ๐ ๐ซ๐๐ญ๐ข๐ง๐๐ฅ ๐๐ซ๐๐๐ค๐ฌ:โฃ
โ Presence of lattice degenerationโฃ
โ Scalloped borders (suggesting progression over time)โฃ
โ Shrinkage of the vitreousโฃ
โ Elevated tractional membrane โฃ โฃ
๐ ๐จ๐ฅ๐ฅ๐จ๐ฐ ๐ฎ๐ฉ:โฃ
โ 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 immediatelyโฃ
โ Follow up at 1- to 2-year intervals, depending on the presence of other associated risk factors.โฃ
โ The patient should be reexamined every 6 months if the posterior borders of the WWOP are scalloped and there is extensive vitreous degenerationโฃ โฃ
www.ophthalmobytes.comโฃ โฃ
Image from Rajan Eye Care Hospital
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