Peripheral Retinal Degenerations

Question 1

Microcystoid Degenerations

Answer 1

area of confluent tiny vesicles in peripheral retina
appears thickened or less transparent
extends from ora serrata
no RD

Question 2

Mx of Microcystoid Degeneration

Answer 2

record and monitor for progression to retinoschisis

Question 3

Pavingstone Degeneration

Answer 3

patches of chorioretina atrophy in row parallel to ora serrata
represents thinned intact retina
no RD, not from pathology

Question 4

Mx of Pavingstone Degeneration

Answer 4

record and educate

Question 5

Retinal Pigmentary Degeneration

Senile Pigmentary Degeneration

Answer 5

peripheral perivascular pigmentation
common in older patients
no pathology

Question 6

Mx of Retinal Pigmentary Degeneration

Answer 6

record

Question 7

Peripheral Drusen

Answer 7

drusen outside the macular region
common in elderly
not a problem or associated with AMD

Question 8

Mx of Peripheral Drusen

Answer 8

monitor and educate

Question 9

Lattice Degeneration

Answer 9

area of thinned (atrophic) retina beneath pocket of liquefied vitreous surrounded by strong vitreal attachments
common in myopes
does not cause RD, but many with RD have LD

Question 10

Presentation of Lattice Degeneration

Answer 10

bilateral
norm in superotemporal quadrant
white lines, snowflakes, small holes in lesion

Question 11

Mx of Lattice Degeneration

Answer 11

none if no retinal breaks

monitor and educate on symptoms of RD

Question 12

Snailtrack Degeneration

Answer 12

peripheral retinal degeneration with frosted looking retina
longer than lattice
holes in lesion

Question 13

Mx of Snailtrack Degeneration

Answer 13

none if no breaks

record and educate on symptoms of RD

Question 14

White With/ Without Pressure

Answer 14

white opaque appearance of small portions of peripheral retina

Question 15

White Without Pressure

Answer 15

constant

rarely causes problems

Question 16

Mx of White W/O Pressure

Answer 16

document and educate on symptoms of RD

Question 17

White With Pressure

Answer 17

only observed with scleral depression

Question 18

Retinal Tuft

Answer 18

small area of retinal elevation where focal vitreous traction pulls up retina
no symptoms or tx needed

Question 19

Diffuse Chorioretinal Atrophy

Answer 19

seen along equator of high myopes
thinning of choroid/ retina
holes can form that cause RD

Question 20

Myopes are more likely to have these conditions…..

Answer 20

lattice degeneration
snailtrack degeneration
diffuse chorioretinal atrophy
macular holes
RD