Published in:
Open Access
01-12-2017 | Original article
Rhegmatogenous retinal detachment in uveitis
Authors:
Joeri De Hoog, Josianne C. Ten Berge, Fahriye Groen, Aniki Rothova
Published in:
Journal of Ophthalmic Inflammation and Infection
|
Issue 1/2017
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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.
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).
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.
Conclusion
Uveitis is a risk factor for RRD development, which carries a poor prognosis.