![]() Congenital Hypertrophy of the Retinal Pigment Epithelium (CHRPE)Ī congenital hypertrophy of the retinal pigment epithelium (CHRPE) is a flat, pigmented spot within the outer layer of the retina at the back of the eye. To the inexperienced observer, the area of white without pressure may initially look like a shallow retinal detachment or retinal tear, but WWP does not usually lead to problems and does not require any treatment, although observation is recommended. WWP is found in 15-30 percent of the population and is characterized by a discrete whitish-gray area in the far peripheral retina that is bordered by a dark line. White without pressure (WWP) describes a finding that your retina doctor may see when examining the peripheral retina. Patients are advised to call immediately if they experience a sudden onset of floaters or flashing lights. If a patient has lattice degeneration but no symptoms, they are typically monitored with careful examination at least annually. Patients with lattice degeneration who have symptoms of floaters and flashing lights are also generally given preventative barrier laser treatment to prevent any future progression of retinal tears or retinal detachment. Lattice degeneration associated with retinal tears is treated with a barrier laser in the office to decrease the risk of the development of retinal detachment. Common symptoms may include floaters and flashing lights. Lattice degeneration may be found on routine examination of the retina, and some patients may not experience any symptoms at all. Diagnosis and Symptoms of Lattice Degeneration Lattice degeneration is found in 10 percent of the general population, but 40 percent of people with retinal detachments are found to have lattice degeneration in the peripheral retina. The tears and holes may then lead to retinal detachment in some patients. ![]() Since the retina overlying lattice degeneration is thinner than normal, it can be predisposed to developing tears or holes. Lattice degeneration is common and usually found in myopic (nearsighted) individuals. Lattice degeneration describes a condition in which an area of the peripheral retina is very thin. Below are other conditions that your retina specialist may find while examining your peripheral retina. For example, a retinal tear or retinal detachment can be found in the peripheral retina. The peripheral retina comprises over 90 percent of the retina and is responsible for our peripheral and night vision.Īlthough macular diseases such as age-related macular degeneration (AMD) and diabetic macular edema are more common and generally more serious, there are a number of important and sometimes dangerous conditions that can occur in the peripheral retina. The macula is in the center of the retina and is responsible for our fine, central, and color vision. The retina can be divided into two main anatomic regions – the macula and the peripheral retina.
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