Retinal Detachment in Patients with Atopic Dermatitis

Abstract

We surveyed data collected in our department over the past 5 years on all patients under the age of 30 years who had presented for repair of retinal detachment. Of 52 such patients, 10 (19.2%) had a documented history of atopic dermatitis. Three (27.3%) of the 11 eyes (10 patients) with atopic dermatitis exhibited a break in the ciliary epithelium in the pars plicata and pars plana, the most characteristic finding in this group. Surgical reattachment of the retina was accomplished in all 11 eyes. To repair a tear in the ciliary epithelium in atopic cases, we prefer using an encircling procedure to reconstruct an artificial ora serrata.

Ophthalmic manifestations of atopic dermatitis

“…Surgical management can be hindered by the fairly common presence of proliferative vitreoretinopathy (PVR) [50]. Flat retinal detachment is the most common type of RD observed in AD patients (p < 0.01) [51]. The same retrospective study estimated the frequency of RD in AD to be 19.2%.…”

Retinal detachment with a break at pars plicata associated with congenital malformation of the lens–zonule–ciliary body complex

“…Retinal detachment related to pars plicata breaks is usually treated with anterior scleral buckling at the ora serrata and cryopexy or diathermy to seal the breaks. 4 14 Some authors recommend performing the segmental intrascleral buckling directly above the break, but this may result in marked astigmatism. 3 5 14 For larger tears, encircling buckling is recommended to reconstruct the artificial ora serrata and release the zonular traction.…”

“… 4 14 Some authors recommend performing the segmental intrascleral buckling directly above the break, but this may result in marked astigmatism. 3 5 14 For larger tears, encircling buckling is recommended to reconstruct the artificial ora serrata and release the zonular traction. 14 Pars plana vitrectomy with lensectomy are considered in recurrent cases or cases with particularly large tears to alleviate the tractional force.…”

“… 3 5 14 For larger tears, encircling buckling is recommended to reconstruct the artificial ora serrata and release the zonular traction. 14 Pars plana vitrectomy with lensectomy are considered in recurrent cases or cases with particularly large tears to alleviate the tractional force. 5 In this patient, high segmental scleral buckling targeting the ora serrata combined with cryopexy at the peripheral retina and pars plana adjacent to the break were adequate to reattach the retina.…”