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Clinical science
Rhegmatogenous retinal detachment presentation and surgery in uveitic eyes
  1. Tafadzwa Young-Zvandasara1,2,3,
  2. David Brunner1,3,
  3. Sarah Welch1,3,
  4. Joanne L Sims1,3,
  5. Clairton De Souza1,3,
  6. William J Cunningham1,3,
  7. Rachael L Niederer1,3
  1. 1 Ophthalmology, The University of Auckland Faculty of Medical and Health Sciences, Auckland, New Zealand
  2. 2 Newcastle Eye Centre, Royal Victoria Infirmary, Newcastle, UK
  3. 3 Greenlane Clinical Centre, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
  1. Correspondence to Dr Tafadzwa Young-Zvandasara, Ophthalmology, Faculty of Medical and Health Sciences, The University of Auckland, Auckland 1051, New Zealand; tpzvandas{at}hotmail.com

Abstract

Background/aims To explore the occurrence, uveitis activity, features, rate of proliferative vitreoretinopathy (PVR) and outcomes following rhegmatogenous retinal detachment (RRD) in a large tertiary referral uveitis service.

Methods Retrospective analysis of subjects attending between 2008 and 2019. Multivariate analysis of risk factors for RRD was calculated. Nelson-Aalen plots were used to demonstrate cumulative risk of RRD. Outcomes of RRD surgery and prognostic indicators were analysed.

Results Two thousand four hundred and forty-seven (2447) subjects (3516 eyes) with uveitis included. The mean follow-up was 5.7 years (19 767 eye-years); 56 eyes developed a RRD (1.6%). Thirty-two eyes had surgery in our unit. Risk factors for RRD were posterior uveitis or panuveitis (HR 3.386, p<0.001), male gender (HR 2.045, p=0.029) and infectious aetiology (HR 1.942, p=0.044). PVR was present in six (18.8%) eyes at presentation, and a further four (12.5%) developed it after the primary surgery. Final follow-up data showed 16 (50%) moderate or severe visual loss, although 29 (90.6%) had anatomical reattachment without oil in situ.

Conclusions There is a high rate of RRD in uveitis eyes. This is accompanied by high rates of PVR and redetachment. Anatomical success was high, but visual outcomes remain unpredictable.

  • retina
  • ciliary body
  • iris
  • choroid

Data availability statement

Data are available upon reasonable request. Data are deidentified participant data.

http://dx.doi.org/10.1136/bjophthalmol-2021-319268

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    Data availability statement

    Data are available upon reasonable request. Data are deidentified participant data.

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    Footnotes

    • Contributors All authors provided a final review and approved the manuscript before submission. TY-Z, RLN, SW, DB, JLS, WJC and CDS conceived and designed the study. TY-Z, SW, RLN, JLS and WJC collected the clinical data. RLN and TY-Z analysed and interpreted the data. TY-Z, RLN and CDS wrote the initial draft. TY-Z, RLN, DB, SW, JLS, CD and WJC judged the data interpretation and edited the manuscript. SW supervised the study.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

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