The vitreous, the clear gel-like substance that fills the inside of the eye, is loosely attached to the retina. As one ages, the vitreous takes on a more fluid consistency and sometimes separates from the retina. In lattice degeneration, there are places where the vitreous is strongly attached to the retina and pulls on it. This pulling weakens the retina and creates lattice lesions.
If part of the vitreous becomes detached from the retina, the friction and pulling where it is still attached can create a tear in the retina. Lattice degeneration can sometimes cause retinal detachments when holes or tears in the lattice formation permit vitreous fluid to get under the retina.
Lattice degeneration is usually seen in very nearsighted people and can sometimes be inherited.
Fortunately, most people with lattice degeneration do not develop a retinal detachment. Preventive treatment of lattice degeneration has not been shown to prevent retinal detachment, but lattice degeneration should be monitored. If you have a history of lattice degeneration, you should be aware of the symptoms of retinal tears and detachment.
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