8/7/2023 0 Comments Pigmented lattice degeneration![]() Weeks later for another dilated assessment, Dr. These are issues that should be carefully evaluated before the final recommendation for treatment is made.Ī patient who experiences flashes or floaters should also be seen for a dilated peripheral retinal exam within a day or two, then return 1 to 4 If a patient is going to have cataract surgery soon, certain types of holes or lattice may be treated before the surgery. If the patient is prone to trauma, such as a boxer, I am more likely to treat that eye prophylactically, too. ∺nother issue to consider is a patients occupation, he continued. ∻ecause lattice is a risk factor for a detached retina, as are retinal holes, I might be more inclined to treat the fellow eye than just observe. If a patient has had a detached retina in one eye, then I would be more apt to treat the other eye prophylactically, he said. Pesin, MD, vitreoretinal specialist with Retina Vitreous Associates in Toledo, Ohio. Other factors, such as location of the lattice and the status of the other eye, also affect the decision to pursue treatment, said Samuel R. If there are no risk factors, you can just monitor these lesions. Then, you have to look at the lesion itself and see if there is any fluid under the edge of the lattice or if the surrounding retina looks attached and stable. ∺n eye with high myopia would tend to detach more easily than other eyes, he said. Alexander said, certain risk factors must be taken into consideration, such as a family history of retinal detachment or a patient with a high degree of myopia. If they develop symptoms, we bring them in, but usually we see them no more than once a year.īecause the condition can create a weakened area in the retina that potentially may lead to retinal detachment, Dr. Typically, I educate patients about the signs and symptoms of developing a retinal tear or detachment, which includes flashes and floaters, a curtain or shadow coming over their vision and so on. ![]() ![]() The risk of developing complications from lattice degeneration is probably less than 1%, Dr. This condition is a fairly common finding and may be monitored on an annual basis, said Mark Dunbar, OD, of the Ophthalmology Referral Center at the Bascom Palmer Eye Institute. Monitor: Pigmented lattice degeneration without associated holes in an asymptomatic myopic patient. While these forms of retinal disease are relatively common and innocuous when asymptomatic, things can change dramatically when certain symptoms and risk factors come into play, they say. Alexander and two other practitioners discussed with Primary Care Optometry News the most contemporary thinking regarding monitoring and referring when the OD is confronted with lattice degeneration, retinoschisis and retinal holes. If the patient is going to worry about it, it may be best to refer to ease the patients anxiety.ĭr. It also depends, to a certain degree, on the patient. It depends on ones own comfort level in examining the peripheral retina and ones experience in monitoring these problems. My recommendations for referring and for monitoring on your own vary from practitioner to practitioner, Dr. The practitioners comfort level, as well as the patients, will also influence the way a patients condition is handled, said Kevin Alexander, OD, PhD, dean of the Michigan College of Optometry at Ferris State University. Peripheral retinal disease can present itself in a variety of forms and may be accompanied by any number of symptoms that will influence an optometrists decision to either monitor the condition or refer the patient for consultation or treatment. If you continue to have this issue please contact to Healio
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