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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...

The Effect of Comorbidities Upon Health-Related Quality-of-Life.

Related Articles

The Effect of Comorbidities Upon Health-Related Quality-of-Life.

Br J Ophthalmol. 2008 Apr 17;

Authors: Real FJ, Brown GC, Brown HC, Brown MM

Aim: The purpose of the study was to assess whether, and to what degree, comorbidities affect patient quality-of-life. Methods: A cross-sectional, quality-of-life study of 170 consecutive vitreoretinal patients compared the utility associated with a participant's primary (most incapacitating) disease and the utility associated with a grouping of all of the participants' diseases. The ocular diseases present included diabetic retinopathy (44%), macular degeneration (30%), lattice degeneration/retinal tear (14%), retinal vascular obstruction (5%), uveitis, macular edema, macular pucker (5%) and others (2%). Participants underwent interviewer-administered, time tradeoff utility questions for each disease, then for a compilation of all diseases. Their primary disease was defined by the lowest utility reported for a single disease, while other health conditions were considered comorbidities. A two-tailed, paired t-test was used to compare the means of the primary disease utilities and compilation utilities. .The study was powered to have a 90% chance of detecting an 8% difference in mean utility between the two utility groups Results: The mean lowest utility for the most disabling single health condition (primary disease) was 0.82 (Standard Deviation = 0.22; 95% Confidence Interval = 0.79 - 0.85. The mean utility for the grouping together of all diseases was 0.80 (SD+/- 0.24, 95% CI 0.76-0.84). No significant difference was found between the mean utilities of the two groups (p = 0.56). Conclusions: The overall health-related quality-of-life of a patient in an ophthalmic population with serious diseases appears to be primarily determined by the single disease that most adversely affects the individual's quality-of-life. This conclusion has significant implications in clinical care and when considering the use of comorbidities in cost-utility analyses.

PMID: 18420747 [PubMed - as supplied by publisher]


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Last updated Tuesday, May 06, 2008

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