Round atrophic holes in lattice degeneration--an important cause of phakic retinal detachment

Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. May-Jun 1976;81(3 Pt 1):509-18.


Round atrophic holes in lattice degeneration are an important cause of phakic retinal detachment. Detachments due solely to round holes in lattice accounted for almost 2.8% of all retinal detachments treated at Wills Eye Hospital from January 1970 to August 1973. These detachments had the following important characteristics: 1. One of the patients were under the age of 30 years. 2. Over 75% of the patients had refractive errors more myopic than -3 D spherical equivalent. 3. Inferior detachments were slightly more common than superior detachments. When located inferiorly, there was a tendency for slow progression as indicated by the frequent presence of pigmented demarcation lines. 4. Surgical repair with standard scleral buckling techniques was successful in 98% of these detachments. Young, moderate to highly myopic patients with round holes in areas of lattice degeneration seem to have a greater risk of developing this type of detachment. Patients with the triad of youth, myopia, and round holes in lattice degeneration deserve close observation.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Atrophy
  • Cataract Extraction*
  • Child
  • Female
  • Humans
  • Male
  • Middle Aged
  • Myopia / complications
  • Postoperative Complications
  • Retinal Degeneration / complications*
  • Retinal Detachment / etiology*
  • Retinal Detachment / surgery
  • Sex Factors