lattice degeneration

[SS2]

I am  a myopic with-2(LE) and -2.25(RE).I had floaters in both eyes since 7 yrs which have slightly increased in number lately.(occasional flashes).My retinal specialist has diagnosed lattice degeneration both eyes(inferior part in left eye & superior part of right eye) the  round lesions in the right eye has been marked in the chart as" holes with ?traction".Doc has advised T/t with Barrage Laser .I want to know whether -
1) laser t/t is necessary at this stage or not
2) does "hole with traction" means that  retinal detachment is imminent  in near or distant future?
3) what are the complications of laser t/t?(I have heard that retinal detachment occur much faster after laser t/t itself)
Please answer a.s.a.p as I have to take decision for or against laser in 2 days.
THanks

[John C Hagan III, MD, FACS, FAAO]

1. The treatment of retinal holes is controversial and there is often not agreement among experts about which need treated and how best to treat.  So I can't tell. you can always get a second opinion
2. That means it is more likely to lead to a RD than a hole without vitreous traction
3. Complications include inability to close the hole, that a RD could develop anyway, swelling of the macula, epiretinal memebrane formation on the macula, increased pressure, damage to cornea or iris.  The laser does not increase the risk of RD if that was the case why would it be done in the first place?

Step back, take a deep breath and if you can't make up your mind get a second opinion

JCH MD

[SS2]

HEllo SIr, I had Barrage laser treatment  done on both eyes about 20 days ago. I have lattice degeneration of retina in left eye and holes with traction in right eye.I had no problem except headache on the day of surgery.About 7 days later I noticed flickering flashes on the periphery of vision in Rt eye.
I showed to my retinal specialist ,who examined my eyes after dialatation and told me that everything is fine and the flashes are because of local vitreous traction which occur after laser treatment and they will stop after sometime.
Well ,they haven't stop till now.they are very frequent and annoying.Is the above explanation  true and sufficient ?  Is it a normal side effect? My refraction tests are normal but I am having problem in accomodation of eyes lately.Why is it so?
I have low serum B12 level too(found out yesterday) Please help.