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. 2017 Nov 21;7(1):22.
doi: 10.1186/s12348-017-0140-5.

Rhegmatogenous retinal detachment in uveitis

Joeri De Hoog  1 , Josianne C Ten Berge  2 , Fahriye Groen  2 , Aniki Rothova  2
Affiliations

Rhegmatogenous retinal detachment in uveitis

Joeri De Hoog et al. J Ophthalmic Inflamm Infect. .

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.

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Conflict of interest statement

Ethics approval and consent to participate

This study was approved by the ethics committee of the Erasmus Medical Center (Medisch Ethische Toetsingscommissie Erasmus MC), under reference number MEC-2012-016.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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