Retinal lattice degeneration4/28/2023 Although the vitreoretinal pathologies after refractive surgery are infrequent, however complications like retinal tears, retinal detachment (RD), macular hole and choroidal neovascularisation have been reported by various authors. Last decade has witnessed a great improvement in the outcome of refractive procedures. Myopia is the commonest refractive error with varying prevalence across different ethnic populations. We emphasize the need for a regular follow-up after the LASIK procedure to ensure timely treatment of any new retinal lesions. A significantly increased risk for the development of RD was observed in eyes that were given prior prophylactic laser photocoagulation for peripheral lesions in multivariate cox proportional regression analysis with a hazard ratio (HR) of 9.33 (CI- 1.554-56.094 P = 0.015). Increased risk of RD was not associated with age at LASIK surgery, gender, laterality, and spherical equivalent ( P > 0.05). The cumulative risk of RD after 1 year was 0.4%, after 2 years was 0.5% and after 7 years was 0.7%. Out of the total patients, 5 eyes developed RD after a mean follow-up of 7 years. Kaplan–Meier analysis and Cox proportion regression model was used to estimate the potential risk factors and cumulative risk for the development of RD. A total of 694 eyes of 352 patients were included who had undergone LASIK surgery at a tertiary eye care institute between January 2005 and September 2015 who had a minimum follow-up of 5 years after the surgery were included. This was a retrospective interventional case series. Laser for lattice can be performed in the office, and your BARA doctor will discuss what to expect with laser treatment if treatment is indicated.The aim of this work was to study the incidence and potential risk factors for development of retinal detachment (RD) after laser-assisted in situ keratomileusis (LASIK) surgery over a long-term follow-up. The laser spots act like glue, creating an adhesion between the retina and the wall of the eye, thereby lowering the risk of a retinal detachment. Your BARA doctor will carefully apply laser spots in a ring around each lattice lesion. In cases of vision-threatening lattice degeneration, the most common treatment is prophylactic laser retinopexy. If you experience new floaters or flashes, or a curtain or shadow in your vision, please call for urgent retinal evaluation. Symptoms do not necessarily indicate the severity of the lattice, but symptoms of flashing may indicate that the vitreous gel is in the process of pulling away from the retina. When symptoms occur, they may include floaters (black spots or cobwebs moving around in the vision) or flashing lights (colorless, split second flashes like a lightning bolt). Of lattice that pose a high risk of retinal detachment. Most cases of lattice degeneration have no symptoms, and this is true even for severe cases What would I notice in my vision if I have lattice? A retinal detachment is the spread of fluid under the retina, separating the retina from the wall of the eye. As the retina becomes thinner in the lattice lesions and the gel undergoes age-related liquefaction and separation from the retinal surface, lattice beds can develop full thickness defects and liquid from the middle of the eye can start to seep through those defects into the space under the retina. The retina is unusually thin in lattice lesions and the vitreous gel (the gel that naturally fills the eye) tends to have a strong adhesion around the edges of lattice lesions. Lattice often progresses with age, and regular examination can help identify progression that threatens the vision. Lattice usually develops during the teenage years but is often only identified later in life on a comprehensive eye examinationĪfter being present for years without any symptoms. While lattice is more common in near-sighted eyes and may run in families, lattice is quite common even without those risk factors. Lattice degeneration affects about 10% of the population and affects both eyes in about one third to one half of cases. In cases of vision-threatening lattice degeneration, laser treatment may be recommended to lower the risk of retinal detachment. Retinal tears are also sometimes associated with lattice. While mild cases of lattice pose little threat to the vision, more severe cases may develop holes that increase the risk of a retinal detachment. Lattice degeneration is a common condition affecting the periphery of the retina, with oval or linear patches of retinal thinning.
0 Comments
Leave a Reply.AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |