Retinal Map of Peripheral Retinal Degenerations and Tears. Part 3. Vitreoretinal Retinal Degeneration

This work describes the results of a multimodal examination of patients with rhegmatogenous peripheral vitreoretinal degenerations. Objective: to conduct a multimodal study of rhegmatogenous peripheral vitreoretinal degenerations and present an informative retinal map of peripheral retinal degenerations and breaks. Methods. Multimodal diagnostics included traditional and additional methods: the ultra-widefield fundus imaging with the Clarus 500 or VISUCAM 500 (Carl Zeiss Meditech Inc., Dublin, USA) and wide-field OCT scanning of the retina periphery with SOLIX and RTVue XR Avanti (Optovue Inc. USA). Results. During the period of 2014–2024, 614 patients (959 eyes) were examined and 1304 peripheral degenerations and retinal breaks were identified with the multimodal examination. Regmatogenic (vitreoretinal) degenerations were found in 437 patients: lattice degeneration — 197 (15.1 %), “snail track” — 95 (7.29 %); vitreoretinal tufts — 145 (11.12 %). Based on the study results, an informative map of the main peripheral retinal degenerations has been developed. Conclusion. In this article (part 3) the multimodal study of peripheral dystrophies allowed us to present the retinal map of regmatogenic peripheral degenerations and retinal breaks for the purpose of timely detection and adequate treatment.

1. Chhablani J, Bagdi A. Peripheral retinal degenerations. Review: Assigned Up to Date by Hyde RA on April 29, 2024. Eye Wiki. URL: https://eyewiki.aao.org/Peripheral_Retinal_Degenerations (Accessed 30.03.2024).

2. Kanski D. Clinical ophthalmology: a systematic approach. Transl. from English ed. by SE Avetisov. Moscow: MEDpress‑inform; 2008. 424 p. (In Russ.).

3. Shaimov RB, Shaimova VA, Pozdeeva OG, Shaimov TB. Classification of peripheral retinal degenerations. Fundamental aspects of mental health. 2017;2:144–149 (In Russ.).

4. Conart JB, Baron D, Berrod JP. Lésions dégénératives de la périphérie rétinienne [Degenerative lesions of the peripheral retina]. J Fr Ophtalmol. 2014 Jan;37(1):73–80. French. doi: 10.1016/j.jfo.2013.09.001.

5. Cheung R, Ly A, Katalinic P, Coroneo MT, Chang A, Kalloniatis M, Madigan MC, Nivison‑Smith L. Visualisation of peripheral retinal degenerations and anomalies with ocular imaging. Semin Ophthalmol. 2022;37(5):554–582. doi: 10.1080/08820538.2022.2039222.

6. Venkatesh R, Sharief S, Thadani A, Ratra D, Mohan S, Narayanan R, Narula R, Asad Y, Roy R, Jayadev C, Yadav NK. Recommendations for management of peripheral retinal degenerations. Indian J Ophthalmol. 2022 Oct;70(10):3681–3686. doi: 10.4103/ijo.IJO_689_22.

7. Bedi N, Shah M. Association of peripheral retinal degeneration with retinal detachment in myopia. Int.J.Med.Sci. Educ 2019;6(4):92–95.

8. Shaimova VA, ed. Peripheral Retinal Degenerations. Optical Coherence Tomography and Retinal Laser Coagulation. 2nd ed. Cham: Springer International Publishing; 2017. doi: 10.1007/978‑3‑319‑48995‑7.

9. Maltsev DS, Kulikov AN, Shaimova VA, Burnasheva MA, Vasiliev AS. Spotlight on Lattice Degeneration Imaging Techniques. Clin Ophthalmol. 2023 Aug 16;17:2383–2395. doi: 10.2147/OPTH.S405200.

10. Lavinsky F, Lavinsky D. Novel perspectives on swept‑source optical coherence tomography. Int J Retina Vitreous. 2016;2:25. Published 2016 Nov 1. doi: 10.1186/s40942‑016‑0050‑y.

11. Shaimova VA, Islamova GR, Klyuchko NA, Shaimov TB, Kuchkildina SKh, Dmukh TS, Ivin MS, Askaeva AA, Kravchenko TG, Fomin AV. Retinal Map of Peripheral Retinal Degenerations and Tears. Part 1. Non ‑Regmatogenous Intraretinal Degenerations of the Retina. Ophthalmology in Russia. 2024;21(2):311–318 (In Russ.). doi: 10.18008/1816‑5095‑2024‑2‑311‑318.

12. Shaimova VA, Islamova GR, Klyuchko NA, Shaimov TB, Kuchkildina SKh, Dmukh TS, Ivin MS, Askaeva AA, Kravchenko TG, Fomin AV. Retinal Map of Peripheral Retinal Degenerations and Tears. Part 2. Non‑rhegmatogenous Chorioretinal Degenerations. Ophthalmology in Russia. 2024;21(3):558–564 (In Russ.). doi: 10.18008/1816‑5095‑2024‑3‑558‑564.

13. Aaberg TM, Stevens TR. Snail track degeneration of the retina. Am J Ophthalmol. 1972 Mar;73(3):370–376. doi: 10.1016/0002‑9394(72)90065‑7.

14. Pozdeeva OG, Dulyba OR. Screening study of peripheral retinal degenerations among students of higher educational institutions of Chelyabinsk. Annals of Oren‑ burg State University. 2015;12:197–200 (In Russ.).

15. Popova NV, Goydin AP. Peripheral vitreochorioretinal dystrophy (the review of the literature). Siberian Scientific Medical Journal. 2017;37(3):54–59 (In Russ.).

16. Salmon JF. Kanski`s Clinical Ophthalmology: A Systematic Approach. 9th ed. Amsterdam: Elsevier; 2019. 956 p.

17. Burya RA, Sudakov VO, Kolenko OV, Sorokin EL. The frequency and structure of prognostically dangerous forms of peripheral retinal dystrophy. Modern technologies in ophthalmology. 2020;2:281–285 (In Russ.). doi: 10.25276/2312‑4911‑20201‑281‑285.

18. Singh K, Sekar M, Ayachit A. Peripheral Retinal Degenerations: A Ready Reckoner. Published online: April 1st, 2021. eOphtha. URL: https://www.eophtha.com/posts/peripheral‑retinal‑degenerations‑a‑ready‑reckoner (Accessed 30.03.2024).

19. Shukla M, Ahuja OP. A possible relationship between lattice and snail track degenerations of the retina. Am J Ophthalmol. 1981 Oct;92(4):482–485. doi: 10.1016/00029394(81)90639‑5.

20. Neroev VV, Zakharova GYu, Kondratyeva JP. Peripheral vitreochoreoretinal dystrophies in the fellow eyes of patients with rhegmatogenous retinal detachment. Russian Ophthalmological Journal. 2014;7(3):5–10 (In Russ.).

21. Byer NE. Lattice degeneration of the retina. Surv Ophthalmol. 1979 JanFeb;23(4):213–248. doi: 10.1016/0039‑6257(79)90048‑1.

22. Shaimova VA, ed. Peripheral retinal dystrophies. Optical coherence tomography. Laser coagulation of the retina: atlas. St. Petersburg: Chelovek; 2015. 240 p. (In Russ.).

23. Chhablani J, Bagdi A. Peripheral retinal degenerations. Review: Assigned status Up to Date by Karth PA on October 17, 2015. Eye Wiki. — URL: https://eyewiki.aao.org/w/index.php?title=Peripheral_Retinal_Degenerations&oldid=20184 (Accessed 31.07.2024).

24. Mrejen S, Engelbert M. Peripheral Retinal Abnormalities. In: Spaide R, Ohno‑Matsui K, Yannuzzi L, eds. Pathologic Myopia. New York: Springer; 2014:255–271. doi: 10.1007/978‑1‑4614‑8338‑0_17.

25. Schepens CL. Subclinical retinal detachments. AMA Arch Ophthalmol. 1952 May;47(5):593–606. doi: 10.1001/archopht.1952.01700030607005.

26. Retinal Detachment and Predisposing Lesions. In: 2021–2022 Basic and Clinical Science Course, Section 12: Retina and Vitreous. San Francisco: American Academy of Ophthalmology; 2021:307–330.

27. Bezdetko PA. Peripheral retinal dystrophy. Ophthalmology. Eastern Europe. 2016;6(4):506–519 (In Russ.).

28. Celorio JM, Pruett RC. Prevalence of lattice degeneration and its relation to axial length in severe myopia. Am J Ophthalmol. 1991 Jan 15;111(1):20–23. doi: 10.1016/s0002‑9394(14)76891‑6.

29. Semes LP, Holland WC, Likens EG. Prevalence and laterality of lattice retinal degeneration within a primary eye care population. Optometry. 2001 Apr;72(4):247–250.

30. Kim TI. Lattice Degeneration. Review: Assigned status Up to Date by Hsu J on May 25, 2024. Eye Wiki. URL: https://eyewiki.org/Lattice_Degeneration (Accessed 31.07.2024).

31. Tang YW, Ji J, Lin JW, Wang J, Wang Y, Liu Z, Hu Z, Yang JF, Ng TK, Zhang M, Pang CP, Cen LP. Automatic Detection of Peripheral Retinal Lesions From UltrawideField Fundus Images Using Deep Learning. Asia Pac J Ophthalmol (Phila). 2023 MayJun 01;12(3):284–292. doi: 10.1097/APO.0000000000000599.

32. Dinnarwika SN. Peripheral Retinal Degeneration. Eye and Sight Journal. 2022 July; 4(2):30–37. URL: https://esj.ub.ac.id/index.php/esj/article/view/44 (Accessed 31.07.2024).

33. Burton TC. The influence of refractive error and lattice degeneration on the incidence of retinal detachment. Trans Am Ophthalmol Soc. 1989;87:143–155.

34. Byer NE. Long‑term natural history of lattice degeneration of the retina. Ophthalmology. 1989 Sep;96(9):1396–1401; discussion 1401–1402. doi: 10.1016/s01616420(89)32713‑8. PMID: 2780007.

35. Foos RY, Allen RA. Retinal tears and lesser lesions of the peripheral retina in autopsy eyes. Am J Ophthalmol. 1967 Sep;64(3):Suppl:643–655. doi: 10.1016/00029394(67)90571‑5.

36. Byer NE. Cystic retinal tufts and their relationship to retinal detachment. Arch Ophthalmol. 1981 Oct;99(10):1788–1790. doi: 10.1001/archopht.1981.03930020662007.

37. Foos R. Zonular traction tufts o the peripheral retina in cadaver eyes. Arch Ophthalmol. 1969;82(5):620–632. doi: 10.1001/archopht.1969.00990020616009. PMID: 5348832.

38. Jones WL. Care of the Patient with Retinal Detachment and Related Peripheral Vitreoretinal Disease St. Louis, 2004. 73 р. URL: https://www.aoa.org/documents/CPG‑13.pdf

39. Campagnoli TR, Smiddy WE. Peripheral Retinal Abnormalities. In: Medina C, Townsend J, Singh A, eds. Manual of Retinal Diseases. Cham: Springer; 2016:243–247. doi: 10.1007/978‑3‑319‑20460‑4_49.

40. Li H, Chen L, Wu M, Zheng B. Spectral‑domain optical coherence tomography characteristics of cystic retinal tuft. BMC Ophthalmol. 2022 Oct 28;22(1):412. doi: 10.1186/s12886‑022‑02636‑z.