Peripheral Retinal Diseases: Indications for Prophylactic Laser Treatment Versus Observation

Ravi Dookeran; Charbel Wahab

doi:10.58931/cect.2024.3244

Authors

Ravi Dookeran, MD Department of Opthalmology, University of Manitoba, Winnipeg, MB
Charbel Wahab, MD University of Manitoba, Winnipeg, MB

DOI:

https://doi.org/10.58931/cect.2024.3244

Abstract

Peripheral retinal diseases encompass a diverse group of conditions that can impact visual health and function. While some of these conditions are asymptomatic and may have a benign course, others can progress to potentially sight-threatening complications, such as retinal detachment, especially in the context of visual symptoms. Careful clinical evaluation and timely intervention are essential in managing peripheral retinal diseases to prevent loss of visual acuity, particularly when predisposing risk factors are present. Obtaining a proper history may help identify some genetic conditions associated with higher incidence of retinal tears and detachment such as high myopia or Stickler syndrome. Other factors to consider include the new onset of symptoms of posterior vitreous detachment, prior history of trauma or relatively recent intraocular surgery such as cataract surgery, intravitreal injection or YAG capsulotomy.

Author Biographies

Ravi Dookeran, MD, Department of Opthalmology, University of Manitoba, Winnipeg, MB

Dr. Dookeran has been working in Winnipeg since 2006 in the Misericordia Hospital and Winnipeg Clinic. He runs a surgical and medical Retinal practice serving all of Manitoba, Nunavut and western Ontario. After completing his medical school training at the University of Manitoba and ophthalmology residency in Edmonton at the University of Alberta, Dr. Dookeran went on to complete a 2-year surgical and medical Retina fellowship at McGill University. Dr. Dookeran is an Assistant Professor in the Department of Ophthalmology at the University of Manitoba and is actively involved in clinical research having authored numerous publications. He has served as Faculty Lead for the retina section of the ophthalmology residency program and on the Residency Program Committee for over 8 years. He received the “Teacher of the Year” award in 2017 for his excellence and commitment to teaching. As an active speaker, Dr. Dookeran has given lectures and spoken at conferences at a local, national and international level and even worked with The Learning Channel, participating in the medical educational series Doctorology with Canadian comedian Leslie Nielsen. Dr. Dookeran has served on the national board of the CNIB Patient Advocacy Committee for 3 years and continues to work with government to help create policies that benefit the lives of the visually impaired across Canada. Dr. Dookeran has been actively involved in developing a Teleophthalmology program and serves as the medical director of the Manitoba Retinal Screening and Vision Program (MRSVP). This service has been successfully running since 2004, covering much of Northern Manitoba and has become one of the largest across Canada.

Charbel Wahab, MD, University of Manitoba, Winnipeg, MB

Dr. Charbel Wahab is a surgical retina fellow at University of Manitoba – Misericordia Health Centre. He completed his medical degree as well as his Ophthalmology Residency at the University of Balamand in Lebanon. He has a Bachelor of Science in Biology from the University of Balamand. Dr. Wahab pursued his education and training by completing a Medical Retina Fellowship at the American University of Beirut in 2021-2022, followed by another Medical Retina and Uveitis Fellowship at the University of Toronto in 2022-2023. He has a clinical focus and interest in vitreoretinal diseases and retinal surgery. In addition, Dr. Wahab has a very keen interest in research and innovations in ophthalmology and has published several articles and presented at various meetings as well as participated in various extracurricular activities, committees, and volunteering.

References

Campagnoli TR, Smiddy WE. Peripheral retinal abnormalities. Springer eBooks. 2016 Jan 1;243–7. DOI: https://doi.org/10.1007/978-3-319-20460-4_49

Management options for peripheral retinal lesions. Adapted from American Academy of Ophthalmology. AAO PPP Retina/Vitreous Committee, Hoskins Center for Quality Eye Care. Preferred Practice Pattern: Posterior Vitreous Detachment, Retinal Breaks, and Lattice Degeneration PPP last revision by AAO 2022.

Quinn N, Csincsik L, Flynn E, et al. The clinical relevance of visualizing the peripheral retina. Progress in Retinal and Eye Research [Internet]. 2019 Jan 1 [cited 2022 May 11];68:83-109. DOI: https://doi.org/10.1016/j.preteyeres.2018.10.001

Peripheral Retinal Degenerations - EyeWiki [Internet]. eyewiki.aao.org.

Mandura RA. Acquired senile retinoschisis of the peripheral retina imaged by Spectral Domain Optical Coherent Tomography. Cureus. 2021 Apr 18;13(4): e14540. DOI: https://doi.org/10.7759/cureus.14540

Steven Ness,MD* et al. Diagnosis and management of degenerative retinoschisis and related complications. Survey of Ophthalmology. 67: 2022: 892–907 DOI: https://doi.org/10.1016/j.survophthal.2021.12.004

Buch H, Vinding T, Nielsen NV. Prevalence and long-term natural course of retinoschisis among elderly individuals. Ophthalmology. 2007 Apr;114(4):751-5. DOI: https://doi.org/10.1016/j.ophtha.2006.08.039

Cheung R, Ly A, Katalinic P, et al. Visualisation of peripheral retinal degenerations and anomalies with ocular imaging. Seminars in Ophthalmology. 2022 Mar 7;37(5):554-82. DOI: https://doi.org/10.1080/08820538.2022.2039222

Shukla M, Ahuja OP. White with pressure (WWP) and white without pressure (WWOP) lesions. Indian J Ophthalmol. 1982 May;30(3):129-32. PMID: 7174054.

Yu H, Luo H, Zhang X, et al. Analysis of white and dark without pressure in a young myopic group based on ultra-wide swept-source optical coherence tomography angiography. J Clin Med. 2022 Aug 18;11(16):4830. DOI: https://doi.org/10.3390/jcm11164830

Nishitsuka K, Nishi K, Namba H, et al. Peripheral cystoid degeneration finding using intraoperative optical coherence tomography in rhegmatogenous retinal detachment. Clin Ophthalmol. 2021 Mar 18;15:1183-7. DOI: https://doi.org/10.2147/OPTH.S306623

Shaimova VA. Peripheral retinal degenerations : optical coherence tomography and retinal laser coagulation. Cham, Switzerland: Springer; 2017. DOI: https://doi.org/10.1007/978-3-319-48995-7

Byer NE. Long-term natural history of lattice degeneration of the retina. Ophthalmology. 1989;96(9):1396–1402. DOI: https://doi.org/10.1016/S0161-6420(89)32713-8

Michael J. Morano, MD, et al. Incidence and Risk Factors for Retinal Detachment and Retinal Tear after Cataract Surgery IRISÒ Registry (Intelligent Research in Sight) Analysis on behalf of the IRIS Registry Analytic Center Consortium. Ophthalmology Science December 2023 Volume 3, Number 4

Rutnin U,Schepens CL.Fundus appearance in normal eyes. Peripheral degenerations.American Journal of Ophthalmology. Dec.1967;64:1040–62. DOI: https://doi.org/10.1016/0002-9394(67)93056-5

Maltsev et al. Spotlight on Lattice Degeneration Imaging Techniques. Clinical Ophthalmology 2023:17 2383–2395 DOI: https://doi.org/10.2147/OPTH.S405200

Francone, Anibal et al. Detection of Neurosensory Retinal Detachment Complicating Degenerative Retinoschisis by Ultra Wide Field Fundus Autofluorescence Imaging. RETINA, The Journal of Retinal and Vitreous Diseases 2020 Volume 40 Number 5 819-824. DOI: https://doi.org/10.1097/IAE.0000000000002488

O’Malley P, Allen RA, Straatsma BR, et al. Paving-stone degeneration of the retina. Arch Ophthalmol. 1965;73:169-82 DOI: https://doi.org/10.1001/archopht.1965.00970030171006

Peripheral Retinal Diseases: Indications for Prophylactic Laser Treatment Versus Observation

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Abstract

Author Biographies

Ravi Dookeran, MD, Department of Opthalmology, University of Manitoba, Winnipeg, MB

Charbel Wahab, MD, University of Manitoba, Winnipeg, MB

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