Peripheral Senile Pigmentary Degeneration (Reticular Degeneration)

Peripheral Senile Pigmentary Degeneration (Reticular Degeneration)
SYMPTOMS Asymptomatic
SIGNS Typically bilateral
Found 360 degrees in the peripheral retina (typically between the ora serrata and equator) and usually more prominent nasally
Net-like and granular areas of RPE pigment which are often associated with drusen
WORK-UP Full eye exam with dilated retinal exam, OCT of the macula (if suspecting age-related macular degeneration)
TREATMENT No treatment is needed and retina needs to be monitored
FOLLOW-UP See patient back in 12 months
ETIOLOGY Occurs due to degenerating RPE that subsequently leads to a release of pigment. More often seen as a patient gets older
DIFFERENTIAL DX Retinitis pigmentosa, Salt and pepper fundus
NOTES There is a link between peripheral senile pigmentary degeneration (reticular degeneration) and age-related macular degeneration
Peripheral Senile Pigmentary Degeneration (Reticular Degeneration): Fundus photo demonstrating peripheral senile pigmentary degeneration