Lattice degeneration of the retina is one of the most common peripheral retina abnormalities. It is characterized by abnormal thinning of the retina and can put people at a slightly greater risk for retinal detachment. The most common risk factor is nearsightedness. If you have been diagnosed with lattice degeneration, it is important to visit an eye care provider regularly to monitor your condition and discuss the risk of retinal detachment and how to prevent it. Treatment options include laser treatment to seal holes in the retina and strengthen weak areas of the peripheral retina, as well as cryotherapy to strengthen weak areas of the peripheral retina.
Iatrogenic lens capsule violation is another risk associated with cataract surgery. This occurs when damage is done to the lens capsule during surgery and can result in an epiretinal membrane that causes macular distortion and cystoid macular edema. To avoid this, it is important to limit the amount of traction applied to the zonules during surgery. A slit-lamp test can reveal a small tear or opacity in the posterior capsule, which can be a precursor to a posterior lens capsule defect or a pars plana vitrectomy. A trabeculectomy blade can also rupture the anterior capsule, which may require additional OVD to maintain the chamber.
It is important to be aware of the risks associated with cataract surgery and take steps to reduce them. If you have been diagnosed with lattice degeneration, it is important to visit your eye doctor regularly for a dilated fundus exam and discuss treatment options with your ophthalmologist. During cataract surgery, it is important to limit traction on the zonules and perform a slit-lamp test on the posterior capsule to evaluate for any tears or opacities that may be present. By taking these steps, you can reduce your risk of developing a detached retina.