Risk Factors for Development of Rhegmatogenous Retinal Detachment in Patients with Uveitis. (19th May 2019)

• Record Type: Journal Article
• Authors: Kunavisarut, Paradee; Srisomboon, Titipol; Patikulsila, Direk; Choovuthayakorn, Janejit; Watanachai, Nawat; Chaikitmongkol, Voraporn; Pathanapitoon, Kessara; Rothova, Aniki
• Is Part Of: Ocular immunology and inflammation. Volume 27:Number 4(2019)
• Page Start: 681
• Page End: 685
• Publication Date: 2019-05-19
• Subjects: Prevalence -- rhegmatogenous retinal detachment -- Thailand -- uveitis -- visual outcome; Eye -- Diseases -- Immunological aspects -- Periodicals; Eye -- Inflammation -- Periodicals; 617.7
• DOI: 10.1080/09273948.2018.1424343
• Languages: English
• ISSNs: 0927-3948

Abstract

ABSTRACT: Purpose : To describe risk factors for development of rhegmatogenous retinal detachment (RRD) in patients with uveitis. Methods : We performed a retrospective review of 411 consecutive human immunodeficiency virus-negative patients with uveitis (571 affected eyes) and report on prevalence, risk factors and visual outcomes of patients with RRD. Results : Prevalence of RRD was 7% of all patients with uveitis. Multivariate analysis revealed that posterior uveitis and panuveitis were associated with RRD ( P = 0.001). Strong association between RRD development and infectious uveitis was also observed ( P = 0.009). Acute retinal necrosis (ARN) was firmly associated with RRD development ( P = 0.016). Although anatomical success was obtained, functional outcome was poor. Poor visual outcomes at 6-month and 1-year follow-up were associated with initial VA < counting fingers ( P = 0.05, P = 0.044). Conclusions : Prevalence of RRD in uveitis was 7% and development of RRD was encountered in posterior and panuveitis. Infectious uveitis (specifically ARN) formed a high risk for RRD.