In this case, the patient was asymptomatic. However, if the fluid extends posterior to the equator, generally, surgical repair is planned. If the detachment is localized or anterior to the equator, it may be amenable to barricade with laser. Patients may be asymptomatic or may complain of a scotoma in the vision. If atrophic holes begin to develop subretinal fluid, if left untreated and not monitored appropriately, patients may go on to slowly develop retinal detachments. However, in some instances, we elect to prophylactically treat lattice with laser retinopexy in the following circumstances: 1) the patient is symptomatic for flashes and floaters in an eye with lattice, 2) the patient has open atrophic holes that have subretinal fluid accumulation, 3) there is vitreal traction over the lattice 4) the lattice has an associated horseshoe tear. Even lattice with atrophic holes may be observed. Generally, lattice degeneration can simply be observed, with annual scleral depressed DFE recommended annually. Lattice degeneration is a common finding of the peripheral retina and can be seen commonly in myopes. Macula threatening rhegmatogenous retinal detachment in the left eye due to open atrophic holes with subretinal fluid.SD-OCT of the macula in both eyes was unremarkable. There are patches of lattice outside of the detachment, also with open atrophic holes. Widefield photo of the left eye showed an inferotemporal retinal detachment due to open atrophic holes.
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