What is lattice degeneration of the retina, and how is it treated?

### What is Lattice Degeneration of the Retina? Lattice degeneration is a condition where the retina, the light-sensitive layer at the back of your eye, becomes thinner over time. This condition affects about 10% of people at some point in their lives. Although lattice degeneration itself doesn't usually cause vision problems, it can increase the risk of retinal tears or detachments. ### Symptoms Most people with lattice degeneration don't experience any symptoms. The condition is often discovered during routine eye exams. However, it's important to watch for signs of retinal tears, such as sudden flashes of light, floaters, or a shadow over your vision. ### Risk Factors The exact cause of lattice degeneration is unknown, but certain factors can increase the risk: - Nearsightedness (myopia) - Family history of the condition - Certain systemic conditions ### Diagnosis Lattice degeneration is usually diagnosed during a dilated fundus examination. During this exam, your eye doctor will use special eye drops to dilate your pupils, allowing them to see the retina more clearly. ### Treatment There is no specific treatment for lattice degeneration itself, as complications like retinal tears or detachments are rare. Regular eye exams are crucial for monitoring the condition. If you're at higher risk for retinal tears or detachments, your doctor may recommend preventive procedures like laser therapy or cryotherapy, although their effectiveness is not guaranteed. ### Surgical Options If a retinal tear or detachment occurs, surgery is required. Common procedures include: - **Pneumatic retinopexy**: An air bubble is injected into the eye to help the retina reattach. - **Scleral buckle surgery**: A band is placed around the eye to push the retina back into place. - **Vitrectomy**: The vitreous gel inside the eye is removed and replaced with a synthetic fluid. ### Prognosis The outlook for lattice degeneration is generally positive. Most people don't develop complications and don't need treatment. Even in cases of retinal detachment, 90% can be successfully treated with surgery, often requiring just one operation. ### Conclusion Regular eye exams are essential for early detection and management of lattice degeneration. If you experience any symptoms of retinal tears or detachment, seek medical attention immediately to protect your vision.