![]() ![]() There are no preventative measures to the development of atrophic retinal holes. This pathology precludes traction of the vitreous to the underlying sensory retina. As the blood supply to the retina is shut down, the retinal tissue subsequently dies in conjunction with degeneration of the surrounding vitreous. It has been postulated that the pathogenesis of this lesion stems from an atrophic pigmented chorioretinopathy that is associated with retinal vessel sclerosis and a disturbance of the overlying vitreous. These lesions often take a round or oval shape. Retinal holes are the result of chronic atrophy of the sensory retina. The incidence of this association has been reported as high as 43%. ![]() Often, these lesions are found in association with lattice degeneration. They are the result of atrophic changes/thinning within the sensory retina that is not induced by vitreous adhesions. There appears to be no sex predilection.Ītrophic retinal holes are full thickness retina breaks often existing in the peripheral retina. Atrophic holes often present in the peripheral (temporal or superior) retina. It has been estimated about 5% of the general population has atrophic holes. There are no generally accepted risk factors for this condition but lesions have been cited more often in younger myopic patients. Idiopathic atrophic retinal hole is the most common presentation. Round hole of retina without detachment ICD-10 H33.32 (non-billable) retinal breaks without detachment ICD-10 H33.3 (billable)Īn atrophic retinal hole is a break in the retina not associated with vitreoretinal traction. ![]()
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