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Lattice Degeneration

Concerns with Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, CK, P-IOL, RLE, etc.


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Lattice can lead to retinal breaks. If considering Lasik, an evaluation by a vitreoretinal specialist may be wise.

 

Lattice degeneration of the retina may be a contraindication for conventional or custom wavefront Lasik, All-Laser Lasik, and Epi-Lasik. Lattice degeneration will normally not automatically exclude a patient from , PRK, LASEK, and P-IOL, but can be problematic.  Any retina problem can be a major concern for RLE. Patients with myopic (nearsighted, shortsighted) vision are at a greater risk than patients who are hyperopic (farsighted, longsighted). Any patient with a history of retina problems of any kind should be fully evaluated by a vitreoretinal specialist before having elective eye surgery.

Lattice degeneration is a hereditary vitreoretinal degeneration. Lattice is an important consideration when contemplating elective elective surgery because it can lead to retinal breaks and retinal detachment; each can cause permanent vision loss. The myopic eye is elongated and places stress on the retina. The significant additional stress on the retina during Lasik, All-Laser Lasik, Epi-Lasik, and RLE would make these procedures the least ideal. Although there is less retinal stress with PRK, LASEK, and P-IOLs, surgery may be best avoided.

Lattice causes many changes in the eye, including retinal thinning at the outer edges and retina hole formation. The size and location of lattice degeneration varies tremendously. One or both eyes may be involved. There is no specific treatment for lattice degeneration, but high risk atrophic holes or breaks can be treated by cryothermy, laser photocoagulation, or diathermy. The use of a laser to stabilize the holes is probably most common.

If you are ready to choose a doctor to be evaluated for conventional or custom wavefront Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, NearVision CK, RLE, or any refractive surgery procedure, we highly recommend you consider a doctor who has been evaluated and certified by the USAEyes nonprofit organization. Locate a USAEyes Evaluated & Certified Lasik Laser Eye Surgeon.


Current Lattice Degeneration Medical Journal News...

Accommodative loss after retinal cryotherapy.

Related Articles

Accommodative loss after retinal cryotherapy.

Am J Ophthalmol. 2009 Jan;147(1):116-20

Authors: Uno T, Okuyama M, Tanabe T, Kawamura R, Ideta H

PURPOSE: To investigate the effects of peripheral retinal cryotherapy on accommodative amplitude in patients with retinal lattice degeneration. DESIGN: Prospective, observational case series. METHODS: We studied 92 eyes in 69 patients (age range, 13 to 79 years) treated with cryotherapy for lattice degeneration between December 2001 and September 2004. Pretreatment and posttreatment accommodative amplitudes were measured. Acute accommodative loss was calculated from the difference between accommodative amplitudes before treatment and one week after treatment. We investigated the time course of accommodative amplitudes, acute accommodative loss in different age groups and in pretreatment accommodative amplitude groups, the influence of cryotherapy numbers on accommodative amplitude, and the influence of cryotherapy sites on accommodative amplitude. RESULTS: No significant difference was noted between pretreatment and posttreatment accommodative amplitudes in the overall subject cohort. Dividing subjects by age revealed significant decreases in accommodative amplitude only among patients in their 10s and 20s at one and three weeks after treatment. Accommodative amplitude was lowest among those in their 10s, followed by that among those in their 20s (P < .01). Accommodative amplitudes recovered to pretreatment level by six weeks. Acute accommodative loss was greatest in those in their 10s compared with other age groups (P < .01). A significant correlation was observed between acute accommodative loss and cryotherapy numbers (P = .03; r = 0.41). CONCLUSIONS: The decrease in accommodative amplitude was greatest at one week after treatment and recovered to pretreatment levels after six weeks. Accommodative amplitude showed the greatest decrease after cryotherapy among patients in their 10s and 20s. A decrease in accommodative amplitude was observed with increased numbers of cryotherapy spots administered.

PMID: 18834581 [PubMed - indexed for MEDLINE]


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Last updated Thursday, February 25, 2010

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