Rhegmatogenous retinal detachment in uveitis.

Authors :: De Hoog J
Ten Berge JC
Groen F
Rothova A
Source :: Journal of ophthalmic inflammation and infection [J Ophthalmic Inflamm Infect] 2017 Nov 21; Vol. 7 (1), pp. 22. Date of Electronic Publication: 2017 Nov 21.
Publication Year :: 2017
Abstract: Background: Retinal detachment is more common among uveitis patients than in the general population. Here, we aimed to assess the prevalence of rhegmatogenous retinal detachment (RRD) in a uveitis population.<br />Methods: We retrospectively studied 851 uveitis patients, recording characteristics such as uveitis duration, anatomical location, and cause; RRD occurrence; proliferative vitreoretinopathy (PVR) at presentation; surgical approach; reattachment rate; and initial and final visual acuity (VA).<br />Results: RRD occurred in 26 patients (3.1%; 29 affected eyes) and was significantly associated with posterior uveitis (p < 0.001), infectious uveitis (p < 0.001), and male gender (p = 0.012). Among cases of infectious uveitis, cytomegalovirus and varicella zoster virus were most commonly associated with RRD development. RRD in non-infectious uveitis was not found to be associated with any specific uveitis entity. The rate of single-operation reattachment was 48%, and the rate of final reattachment was 83%. Mean final VA was 20/125, with 41% of eyes ultimately having a VA of less than 20/200.<br />Conclusion: Uveitis is a risk factor for RRD development, which carries a poor prognosis.