Mathew David J, Sarma Saurabh Kumar, Basaiawmoit Jennifer V
Consultant Ophthalmologist, Bansara Eye Care Centre , Laitumkhrah, Shillong, India .
Senior Consultant Ophthalmologist, Bansara Eye Care Centre , Laitumkhrah, Shillong, India .
J Clin Diagn Res. 2016 Jul;10(7):ND01-2. doi: 10.7860/JCDR/2016/20312.8096. Epub 2016 Jul 1.
Lattice degeneration of the retina is not infrequently encountered on a dilated retinal examination and many of them do not need any intervention. We report a case of atypical lattice degeneration variant with peripheral retinal detachment. An asymptomatic 35-year-old lady with minimal refractive error was found to have extensive lattice degeneration, peripheral retinal detachment and fibrotic changes peripherally with elevation of retinal vessels on dilated retinal examination. There were also areas of white without pressure, chorioretinal scarring and retinal breaks. All the changes were limited to beyond the equator but were found to span 360 degrees. She was treated with barrage laser all around to prevent extension of the retinal detachment posteriorly. She remained stable till her latest follow-up two years after the barrage laser. This case is reported for its rarity with a discussion of the probable differential diagnoses. To the best of our knowledge, this is the first report of such findings in lattice degeneration.
视网膜格子样变性在散瞳眼底检查中并不少见，其中许多无需任何干预。我们报告一例伴有周边视网膜脱离的非典型格子样变性变异型病例。一名35岁无症状女性，屈光不正轻微，散瞳眼底检查发现有广泛的格子样变性、周边视网膜脱离以及周边纤维化改变伴视网膜血管抬高。还存在无压力性白色区域、脉络膜视网膜瘢痕和视网膜裂孔。所有这些改变均局限于赤道后方，但范围达360度。对其进行了全周预防性激光光凝治疗以防止视网膜脱离向后扩展。在激光光凝治疗两年后的最近一次随访中，她的病情保持稳定。报道该病例是因其罕见，并对可能的鉴别诊断进行了讨论。据我们所知，这是关于格子样变性中此类发现的首例报告。
