On dilated examination, the retina showed fibrotic changes peripherally with elevation of retinal vessels due to retinal detachment. Anterior segment examination was within normal limits. On examination, she had a best corrected visual acuity of 20/20 in both eyes using Snellen’s visual acuity chart with a correction of -0.50DC at 10° and +1.00DS / -1.00DC at 170° in the right and left eyes respectively. There was no family history of retinal diseases. She was born of a non-consanguineous marriage and birth history was reportedly normal. She did not undergo any laser or surgical treatment in the past. There was no history of flashes or floaters, redness, pain or sudden loss of vision in the past. She had been using glasses for the last 10 years. She was told elsewhere that she has a retinal problem, the details of which were not known to her. To the best of our knowledge, this is the first report of such findings in lattice degeneration.Ī 35-year-old Asian Indian housewife presented to the Department of Ophthalmology for a regular eye check-up. This case is reported for its rarity with a discussion of the probable differential diagnoses. She remained stable till her latest follow-up two years after the barrage laser. She was treated with barrage laser all around to prevent extension of the retinal detachment posteriorly. All the changes were limited to beyond the equator but were found to span 360 degrees. There were also areas of white without pressure, chorioretinal scarring and retinal breaks. 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. We report a case of atypical lattice degeneration variant with peripheral retinal detachment. Lattice degeneration of the retina is not infrequently encountered on a dilated retinal examination and many of them do not need any intervention.
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