Abstract
Purpose: To present our experience about the clinical course of a patient with bilateral retinal detachment associated with atopic dermatitis. Method: Case report. Results: Retinal detachment is one of serious ocular complications of atopic dermatitis. We report a case of 21-year-old male with atopic dermatitis suffered from bilateral blurred vision for months. His best-corrected visual acuity was 0.7 and 0.2 in the right and left eye respectively. Ocular examination showed bilateral cataract formation and retinal detachment with multiple peripheral retinal breaks in both eyes. After bilateral encircling scleral buckle surgery, the retina was reattached successfully. Six months after scleral buckling, his BCVA dropped from 0.4 to 0.08 in the left eye because of macular pucker and posterior subcapsular cataract formation. Macular membrane peeling combined with cataract surgery was done in his left eye, and the BC VA was 0.4 four months later. Conclusion: We recommend that patients with atopic dermatitis especially with periocular skin eruption should undergo complete ophthalmic survey include fundus examination, to early detect the possibility of retinal detachment.
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