Would you recommend observation or laser retinopexy in a young myope with asymptomatic lattice degeneration with retinal holes within lattice in each eye?

This is a difficult question to answer. I take into consideration many factors such as: activity/sports, family history of RDs, genetic results, location of lattice and traction around lattice, can they see me every 6 months, can they be imaged easily, disability, etc. It’s a discussion to have with...

I have excellent retina colleagues who are smart, experienced, with good judgment who come down on both sides of this one. You can't predict the future, and patient outcomes are not like a cookbook.