Video: Should Fellow-Eye Lattice Prompt Early Laser?

Chase Ludwig, MD, joins Diana V. Do, MD, to review real-world data suggesting that prompt laser in lattice eyes may reduce future retinal detachments.

By: Chase Ludwig, MD, Diana V. Do, MD

Retinal Physician August 1, 2025 Vol 22, Issue July/August 2025

5 Key Takeaways

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Prompt laser treatment in fellow eyes with lattice degeneration may reduce the risk of future retinal detachments.
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Analysis of the TriNetX database identified 24,000 patients with unilateral lattice degeneration.
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Patients with a prior retinal detachment in one eye have a significantly higher risk of detachment in the lattice eye.
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The number needed to treat to prevent one detachment in lattice eyes is between 3 and 6 patients.
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Laser prophylaxis is recommended for patients with a history of detachment in one eye and lattice in the fellow eye.

Chase Ludwig, MD

Bio: Chase Ludwig, MD, is a physician with a focus on retinal detachment and myopia. At the 2025 American Society of Retina Specialists Annual Meeting, he presented real-world data on the risk of retinal detachment in fellow eyes with lattice degeneration after primary rhegmatogenous retinal detachment. His work discussed the use of a large TriNetX database cohort to evaluate tear and detachment risk across myopia and lens-status groups, with attention to whether prompt laser treatment in lattice eyes may reduce future retinal detachments.

Contributions:

https://retinalphysician.com/issues/2025/julyaugust/asrs18/

Diana V. Do, MD

Retina Specialist

Specialties: Ophthalmology

Bio: Diana V. Do, MD, is a retina specialist and author for Retinal Physician. Her work focuses on ophthalmology and retinal disease, with interest in clinical trials, practice management, and emerging therapies for retinal conditions. In her Retinal Physician column, Dr. Do discusses developments in retina care, including clinical research collaboration, international clinical trial infrastructure, and investigational treatments for neovascular age-related macular degeneration and diabetic macular edema. She has also referenced her training connections with the Wilmer Eye Institute.

PentaVision

Retinal Physician

Video: Should Fellow-Eye Lattice Prompt Early Laser?

5 Key Takeaways

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