Retrospective survey of surgical outcomes on rhegmatogenous retinal detachments associated with atopic dermatitis

Archives of Ophthalmology
N AzumaY Tano

Abstract

To determine the clinical features and surgical outcomes of retinal detachment associated with atopic dermatitis. One hundred twenty-one eyes of 98 patients with atopic dermatitis and rhegmatogenous retinal detachment were surgically treated and followed up for 1 year or longer. Fundus examination data on retinal breaks and detachment, and follow-up data on anatomic reattachment were obtained and compared between phakic and aphakic eyes using the chi 2 test. Breaks were often multiple and located at the ora serrata (72%) and in the ciliary epithelium (15%). Irregularly shaped breaks (13.5%) and giant breaks (16%) also were seen. Most detachments (71%) were localized and shallow. No significant difference was identified with or without a history of cataract surgery. The prognosis after the initial surgery (reattachment rate, 72%) was unfavorable because of new break formation, but the results of reoperation (reattachment rate, 93%) were as successful. Patients with atopic dermatitis may have an abnormality in the anterior retina and ciliary epithelium that predisposes to retinal detachment. Findings suggest a possible traumatic trigger and the need to perform an encircling scleral buckle procedure with widespread retinopexy init...Continue Reading

Citations

Feb 28, 2001·Journal of Cataract and Refractive Surgery·S YamazakiD Kurosaka
Jul 26, 2002·The British Journal of Ophthalmology·H HayashiK Hayashi
Nov 30, 1999·American Journal of Ophthalmology·S TanakaH Ideta
Jun 30, 2018·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Licia TanShu Yen Lee
Apr 4, 2015·Journal of Cataract and Refractive Surgery·Erisa Yotsukura-TsutsuiYoko Ozawa
Nov 15, 2018·Japanese Journal of Ophthalmology·Sumihiro KawanoKoji Kawakami
May 24, 2017·International Ophthalmology·Azusa FujikawaTakashi Kitaoka
Jun 15, 2017·Ophthalmic Surgery, Lasers & Imaging Retina·Nikisha KothariAudina M Berrocal

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