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Lattice Degeneration

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Lattice peripheral degeneration of the retina is a bilateral condition which involves the retina peripherally between the areas of the ora serrata and the equator.  Examination of the fundus reveals a circumferential area of involvement characterized by small criss-crossing white lattice lines which represent thickened, hyalinized blood vessels.  There may be areas of hyperpigmentation associated with the areas of lattice degeneration(#22234).  There is often a pocket of liquified overlying vitreous with condensed vitreous forming adhesions to the margins of the lattice degeneration which may lead to subsequent retinal detachment.  Histopathologically, the retina shows signs of atrophy and thinning with a small amount of gliosis superficially(#22235).  The retinal vessels are thickened and hyalinized.  The overlying vitreous shows liquefaction centrally with areas of vitreoretinal adhesions seen at the edge of the lattice lesion.

 

Other views of Lattice degeneration can be seen (#23025, #23028, #23031).

 

Gross Photo #22234 Medium Power #22235
22235.jpg (71171 bytes)
 
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