![]() ![]() Your retinal specialist will evaluate a number of criteria to determine your specific risk for retinal detachment and then recommend appropriate treatment or monitoring intervals. These holes can present a significant risk for vision loss from the complication of retinal detachment however, not all retinal holes require treatment. Occasionally, the retina develops a retinal hole in areas with or without lattice degeneration as a consequence of the vitreous gel tugging in a focal spot. Depending upon the health of your retina, family history, and symptoms, your retina specialist may recommend protective laser barrier to strengthen the borders of the weak areas and minimize the risk of complications. When a retinal break occurs, fluid from the eye may leak between layers of the retina, specifically between the sensory retina and the retinal pigment epithelium, and cause separation. Retinal detachments occur when fluid in the vitreous cavity passes through tears or holes in the retina and separates the retina from the underlying retinal pigment epithelium. They are also more susceptible to thinning in focal spots that then cause holes. Lattice lesions with retinal thinning and pigmentary disturbances along retinal vessels may be referred to as radial perivascular chorioretinal degeneration. Retinal lattice degeneration is a condition associated with retinal breaks in which the retinal tissue breaks down or thins in a lattice pattern. Asymptomatic retinal breaks and lattice degeneration are visible lesions that are risk factors for later retinal detachment. These areas are weaker and more prone to tearing when the vitreous gel pulls or separates from the retina. Lattice increases the risk of retinal holes, tears, and detachment. This thinning is called lattice degeneration and often appears like a band of latticework. ![]()
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