Abstract
BackgroundTo examine the characteristics of rhegmatous retinal detachment (RRD) associated with atopic dermatitis.MethodMedical records of 2257 patients who underwent RD surgery at this clinic between 2008 and 2018 were retrospectively reviewed. Among them, 61 patients who were diagnosed as AD were assigned into the experimental group and 100 patients who did not have AD were randomly selected and assigned into the control group.Demographics, characteristics of detachment, initial operative method, and prognosis after surgery were investigated as main outcomes. Additionally, in pseudophakic RD patients, the period between the cataract surgery and onset of RD was measured.ResultPostoperative VA and prognosis were significantly worse and bilateral involvement of RD was more common in the atopy group than in the control group. (P value = 0.005, 0.001 each) Characteristics of retinal breaks were different between the two groups. Additionally, the risk of developing RD within 1 year after cataract surgery was significantly higher in pseudophakic patients of the atopic group than in the control group. (P value = 0.013) However, there was no significant difference in mean preoperative VA or refractive index between the two groups.ConclusionOur results show that in atopic patients, RD occurs at a young age with different characteristics compared to non-atopic patients. Atopic RD has a poor visual prognosis. Thus, it requires careful management. Furthermore, the risk of developing RD within 1 year after cataract surgery is higher in atopic patients. Therefore, it is important to perform regular and extensive check-up after cataract surgery for atopic patients.
Highlights
Atopic dermatitis (AD) is a common disease with a worldwide prevalence of 15-25% in children and 7% in adults
Our results show that in atopic patients, RD occurs at a young age with different characteristics com‐ pared to non-atopic patients
Further‐ more, the risk of developing RD within 1 year after cataract surgery is higher in atopic patients
Summary
Atopic dermatitis (AD) is a common disease with a worldwide prevalence of 15-25% in children and 7% in adults. According to a previous study, AD patients have 2 to 12 times more ocular diseases such as dry eye, keratoconjunctivitis, keratoconus, retinal. RD is a pathological condition in which the retina is detached from the inner wall of the eyeball. The annual incidence of RD is about 12 in 100,000 persons, and if this condition continues, permanent retinal atrophy occurs, resulting in blindness and atrophy of the eyeball [3]. To examine the characteristics of rhegmatous retinal detachment (RRD) associated with atopic dermatitis
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