![]() ![]() Patients with the triad of youth, myopia, and round holes in lattice degeneration deserve close observation. Young, moderate to highly myopic patients with round holes in areas of lattice degeneration seem to have a greater risk of developing this type of detachment. Surgical repair with standard scleral buckling techniques was successful in 98% of these detachments. When located inferiorly, there was a tendency for slow progression as indicated by the frequent presence of pigmented demarcation lines. Lattice degeneration with an atrophic hole at 1 o’clock direction (yellow arrows) was noted preoperatively. Inferior detachments were slightly more common than superior detachments. Over 75% of the patients had refractive errors more myopic than -3 D spherical equivalent. One of the patients were under the age of 30 years. This common disease where the retina is weakened which may cause. ![]() These detachments had the following important characteristics: 1. Lattice Degeneration is a disease of the retina that occurs in 8 11 of the population. Because asymptomatic retinal breaks and lattice degeneration are visible, common, and associated with retinal detachment, they have frequently been considered. Detachments due solely to round holes in lattice accounted for almost 2.8% of all retinal detachments treated at Wills Eye Hospital from January 1970 to August 1973. Lattice degeneration is a vitreoretinal disorder characterized by focal lesions which are associated with asymptomatic retinal holes and an increased likelihood of future retinal tears. Round atrophic holes in lattice degeneration are an important cause of phakic retinal detachment. ![]()
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