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| vitreoretinal_precursors_retinal_breaks [2026/02/25 18:15] – [Table] Scott Larson | vitreoretinal_precursors_retinal_breaks [2026/02/25 18:26] (current) – Scott Larson | ||
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| ====== Vitreoretinal Precursors of Retinal Breaks ====== | ====== Vitreoretinal Precursors of Retinal Breaks ====== | ||
| - | FIXME | + | |
| ====Lattice Degeneration==== | ====Lattice Degeneration==== | ||
| * Occurs in 8% (6-10%) slightly more than half are unilateral | * Occurs in 8% (6-10%) slightly more than half are unilateral | ||
| Line 14: | Line 14: | ||
| * Associated with retinal tears, detachments, | * Associated with retinal tears, detachments, | ||
| * Monitoring recommended if asymptomatic with a consideration for prophylactic treatment in a fellow eye of those with retinal detachment. | * Monitoring recommended if asymptomatic with a consideration for prophylactic treatment in a fellow eye of those with retinal detachment. | ||
| - | ===Byer' | + | ===Byer' |
| - | * Subclinical retinal detachments 10/423 eyes | + | * 276 consecutive patients with average 10.8 years follow-up (1-25 years) |
| + | * Subclinical retinal detachments | ||
| * 1 disc diameter of subretinal fluid on all sides of the break | * 1 disc diameter of subretinal fluid on all sides of the break | ||
| * no extension posterior to the equator. | * no extension posterior to the equator. | ||
| * treatment needed in 1 | * treatment needed in 1 | ||
| * Atrophic retinal holes 35% | * Atrophic retinal holes 35% | ||
| - | * Tractional retinal tears, asymptomatic 3/423 eyes | + | * Tractional retinal tears, asymptomatic |
| * none treated and none progressed | * none treated and none progressed | ||
| - | * Tractional retinal tears, symptomatic 5/423 eyes | + | * Tractional retinal tears, symptomatic |
| * all treated | * all treated | ||
| - | * Retinal detachment 3/423 eyes | + | * Retinal detachment |
| * two due to round retinal holes in lattice lesions | * two due to round retinal holes in lattice lesions | ||
| * 1 from a symptomatic retinal tear | * 1 from a symptomatic retinal tear | ||
| * Recommendations from this study | * Recommendations from this study | ||
| - | * Phakic eyes if asymptomatic should not a prophylactic treatment | + | * Phakic eyes if asymptomatic should not have prophylactic treatment |
| * Retinal detachment in the setting of vitreoretinal traction on lattice lesions containing round retinal holes is relatively common in the setting of significant myopia | * Retinal detachment in the setting of vitreoretinal traction on lattice lesions containing round retinal holes is relatively common in the setting of significant myopia | ||
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| * sclerotic retinal vessels can occur in the area | * sclerotic retinal vessels can occur in the area | ||
| * laser will whiten the outer layer | * laser will whiten the outer layer | ||
| - | | Feature | + | |
| ^ Feature | ^ Feature | ||
| | Age | Middle Age to Elderly | | Age | Middle Age to Elderly | ||