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Classic Lattice Degeneration

Classic Lattice Degeneration. Perivascular Lattice. Photocoagulation spots in moderate pattern. Cryotherapy. Vitreous Anomoly. Attached with Silicone Oil. Stickler GB, Hughes W, Houchin P. Clinical features of hereditary progressive arthro-ophthalmopathy (Sticklersyndrome): a survey.

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Classic Lattice Degeneration

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  1. Classic Lattice Degeneration

  2. Perivascular Lattice

  3. Photocoagulation spots in moderate pattern

  4. Cryotherapy

  5. Vitreous Anomoly

  6. Attached with Silicone Oil

  7. Stickler GB, Hughes W, Houchin P. Clinical features of hereditary progressive arthro-ophthalmopathy (Sticklersyndrome): a survey. Genet Med. 2001 May-Jun;3(3):192-6. Early diagnosis and intervention for retinal detachments can preserve vision.

  8. Retinal Detachment and Prophylaxis in Type 1 Stickler Syndrome Ang A, Poulson AV, Goodburn SF, Richards AJ, Scott JD, Snead MP.Ophthalmology. 2008 Jan;115(1):164-8.

  9. Shapiro Recommendation Monitor Q 3 months to catch RD early EUAs as needed to get view of periphery Test each eye regularly Educate for Signs of breaks and RDs Educate of continued high risk (5-10%) Treat with laser from ora to anterior equator or most posterior pathology. Consider randomizing to cryotherapy

  10. Choice of Intervention • Peripheral Cryotherapy • Peripheral Laser Photocoagulation • Encircling Scleral Buckle • Treatment of Pathologic • PVD • Monitoring

  11. Questions for Physician Education • Why is detection and counseling important ? • What are the triggers for suspicion? • What diagnostic complexity is posed by COL2A1:Exon2 disease: ocular predominant • When and How is Stickler outcome improved ? • What are diagnostic pearls ?

  12. THE END(This power point was edited for the SIP Web Site)

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