Lattice Degeneration in High Myopia: Risks and Management - Ophthalmology

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Lattice degeneration is a condition often associated with high myopia, characterized by thinning and a lattice-like appearance of the peripheral retina. This condition can increase the risk of retinal tears and detachment, particularly in individuals with high myopia, as the retina is more susceptible to these complications due to the elongation of the eyeball. Your situation, with left eye myopia of -10.50 and right eye of -9.25, places you in the category of high myopia, which is indeed a risk factor for lattice degeneration and potential retinal issues.

The risk of retinal detachment in patients with lattice degeneration and high myopia is generally estimated to be between 1% to 2%, as your retinal specialist mentioned. This means that while there is a risk, it is relatively low. However, it is essential to remain vigilant, as the risk can vary based on individual factors, including the extent of degeneration, family history, and overall eye health.

Your retinal specialist's decision not to recommend preventive laser treatment is based on the understanding that not all lattice degeneration leads to retinal tears or detachment. In many cases, lattice degeneration can remain stable without causing significant problems. The rationale is that if a tear occurs, it may not necessarily happen in the area of degeneration, and the potential benefits of laser treatment may not outweigh the risks.

Regarding your question about how long patients with good eye care can maintain their vision, it varies widely. Many patients with high myopia and lattice degeneration can maintain stable vision for many years, especially if they adhere to regular eye examinations and manage their eye health proactively. Factors such as lifestyle, diet, and adherence to prescribed supplements (like omega-3 fatty acids, lutein, and antioxidants) can contribute positively to eye health.
It's also important to note that while dietary supplements may support overall eye health, they cannot replace regular eye care or prevent conditions like lattice degeneration or retinal detachment. Regular eye exams are crucial, as they allow for early detection of any changes in the retina that may require intervention.

In terms of lifestyle, as a web designer, you should continue to practice good eye hygiene. This includes taking regular breaks to reduce eye strain, ensuring proper lighting while working, and maintaining a healthy diet rich in antioxidants and omega-3 fatty acids. Staying hydrated and managing screen time can also help maintain eye comfort and health.

In conclusion, while lattice degeneration in the context of high myopia does carry some risk for retinal detachment, the actual risk is relatively low. With proper eye care and regular monitoring, many individuals can maintain their vision for many years. Always consult with your eye care professional regarding any changes in your vision or concerns about your eye health, and follow their recommendations for monitoring and managing your condition.