Saudi Journal of Medical and Pharmaceutical Sciences (SJMPS)
Volume-5 | Issue-06 | 503-511
Original Research Article
A Study of White Without Pressure Peripheral Retinal Lesions in Emmetropia, Myopia and Hypermetropia
Dhull VK, Nada Manisha, Sood Sundan, Gahlawat Rachana
Published : June 22, 2019
Abstract
This research work was carried out in 360 eyes of 180 patients
 to study the white without pressure (WWOP) lesions regarding its incidence, morphology, distribution, associated retinal and vitreous changes and its predisposition to retinal detachment in 60 patients each of emmetropes, myopes and hypermetropes. The patients were examined by indirect ophthalmoscopy and Goldman-three mirror lens. The maximum numbers of patients were in the second to fifth decade of life. Maximum number of eyes had 0-2 diopters of refractive error. The WWOP lesions were detected in 3.61% eyes. The WWOP lesions were found to be more common in the third decade of life. There was no predilection for sex in patients of WWOP. The lesions were found more frequently in myopic eyes compared to other groups. These lesions were observed between the ora serrata and equator. Isolated lesions were more common than the confluent lesions. The superotemporal quadrant of the retina was the most frequently involved. The peripheral retinal lesions capable of causing retinal detachment were seen more frequently in myopic eyes with WWOP. The vitreous changes were observed in all the eyes with WWOP irrespective of the type of refractive error. The WWOP lesion as such may not be having any potential
for causing retinal detachment, but because of the more frequent association to the predisposing peripheral retinal degenerations and retinal breaks, it has been suggested that these eyes should be examined more exhaustively and followed up more frequently to prevent the development of retinal detachment.