![]() OCT shows a full-thickness break (blue arrow) and surrounding sub-and intraretinal fluid (red arrow) in the so called “cuff of fluid.” The progression of this fluid can lead to a chronically progressive rhegmatogenous retinal detachment. Lattice degeneration with multiple retinal holes. 1,2 Often, these holes are contained within, or are adjacent to, lattice degeneration and may be partial or full thickness ( Figures 3 and 4). While atrophic holes occur secondary to focal degeneration of the neurosensory retina and are not resultant from vitreous traction, they can exhibit surrounding areas of abnormal vitreoretinal adhesion ( Figure 2). ![]() Most patients exhibiting these have no associated symptoms. These are most often found during routine exam of the peripheral retina ( Figure 1). The above images display atrophic retinal holes (blue arrows) with surrounding regions of vitreoretinal adhesion (red arrows) visible in the images above and below. (C) A large atrophic hole noted in routine examination and subsequently treated with laser. The ring of pigmentation (blue arrows) is a reactive repair due to separation of neurosensory retina and the retinal pigment epithelium. Atrophic retinal hole (red arrows) noted both on (A) fundus photograph and (B) OCT. What follows is a pictorial, instructive guide depicting and describing various types of retinal holes and tears, their possible etiologies and management strategies.įig. Retinal defects come in different shapes and sizes and may be either partial or full thickness. Retinal holes and tears are commonly encountered during dilated fundus examination of both symptomatic and asymptomatic patients.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |