These two images are or lattice degeneration. It was difficult to get a great photo of it because of the movements in the eyes when a patient looks in extreme gaze, and also because this patient was wearing a contact lens and I was looking half through the non-optical portion of the lens.
Lattice degeneration occurs when there’s thinning of the peripheral retina. Patients will often see flashes of light as this patient did. Oftentimes holes can develop within or near lattice degeneration. This patient was educated about the symptoms of retinal tears or a detachment and should be dilated on a yearly basis.

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