J Korean Ophthalmol Soc.  2016 Aug;57(8):1233-1240. 10.3341/jkos.2016.57.8.1233.

Clinical Characteristics of Retinal Detachment Associated with Atopic Dermatitis

• Choi SC
• Cho HJ
• Lee DW
• Cho SW
• Kim CG
• Kim JW
• Kim HS

• KMID: 2349069
• DOI: http://doi.org/10.3341/jkos.2016.57.8.1233

Abstract

PURPOSE
To evaluate the clinical characteristics and surgical outcomes of retinal detachment associated with atopic dermatitis.
METHODS
A retrospective investigation of clinical notes of 37 patients with retinal detachment associated with atopic dermatitis was conducted from January 2009 to December 2015. Initial visual acuity, medical history, type of retinal detachment, number of tears, types of treatment, success rate of treatment, and presence of cataract were investigated. To evaluate the relationship with cataract, the patients were classified into three groups according to lens status: group A (eyes with clear lens), group B (eyes with cataract), and group C (pseudophakic eyes).
RESULTS
Of the 37 patients, 29 were male and 8 were female; 10 patients had bilateral retinal detachment (27.0%). The retinal breaks were often located temporally (89.4%), with only 5 cases (10.6%) involving nasal-side retinal breaks. No significant differences were noted in the ratio of males to females, age distribution, visual acuity before and after treatments, axial length, and location of retina breaks among the three groups. After primary surgery, retinal detachment recurred in 12 patients (14 eyes), 5 of whom were initially diagnosed with bilateral retinal detachment. In addition, 12 of 14 eyes underwent a second operation, in which detachment recurred in 3 eyes.
CONCLUSIONS
Incidence of bilateral retinal detachment was high in patients with atopic dermatitis, and the retinal breaks were often found on the temporal side. Retinal re-detachment was statistically high in patients with cataract or pseudophakic eyes compared to patients with clear lens (p = 0.024).

Keyword

Atopic dermatitis; Cataract; Retinal detachment

MeSH Terms

Age Distribution
Cataract
Dermatitis, Atopic*
Female
Humans
Incidence
Male
Retina
Retinal Detachment*
Retinal Perforations
Retinaldehyde*
Retrospective Studies
Tears
Visual Acuity
Retinaldehyde

Reference

References

1. Inoue M, Shinoda K, Ishida S, et al. Intraocular lens implantation after atopic cataract surgery decreases incidence of postoperative retinal detachment. Ophthalmology. 2005; 112:1719–24.

2. Hida T, Tano Y, Okinami S, et al. Multicenter retrospective study of retinal detachment associated with atopic dermatitis. Jpn J abdominal. 2000; 44:407–18.

3. Sasoh M, Mizutani H, Matsubara H, et al. Incidence of retinal abdominal associated with atopic dermatitis in Japan: review of abdominal from 1992 to 2011. Clin Ophthalmol. 2015; 9:1129–34.

4. Park YH, Koo HM, Chung SK, Lee JY. Ocular complications in abdominals with atopic dermatitis. J Korean Ophthalmol Soc. 1999; 40:3422–8.

5. Ha SM, Shin JP, Kim SY. Rhegmatogenous retinal detachment abdominal with atopic dermatitis. J Korean Ophthalmol Soc. 2004; 45:419–24.

6. Chang PY, Yang CM, Yang CH, et al. Clinical characteristics and surgical outcomes of pediatric rhegmatogenous retinal detachment in Taiwan. Am J Ophthalmol. 2005; 139:1067–72.

7. Butler TK, Kiel AW, Orr GM. Anatomical and visual outcome of retinal detachment surgery in children. Br J Ophthalmol. 2001; 85:1437–9.

8. Weinberg DV, Lyon AT, Greenwald MJ, Mets MB. Rhegmatogenous retinal detachments in children: risk factors and surgical outcomes. Ophthalmology. 2003; 110:1708–13.

9. Won YH, Lee SC, Kim SJ, Shin SS. The relationship among abdominal severity, family history and immunologic analysis in atopic dermatitis. Korean J Dermatol. 1999; 37:1399–406.

10. Takahashi M, Suzuma K, Inaba I, et al. Retinal detachment abdominal with atopic dermatitis. Br J Ophthalmol. 1996; 80:54–7.

11. Cox MS, Schepens CL, Freeman HM. Retinal detachment due to ocular contusion. Arch Ophthalmol. 1966; 76:678–85.

12. Oka C, Ideta H, Nagasaki H, et al. Retinal detachment with atopic dermatitis similar to traumatic retinal detachment. Ophthalmology. 1994; 101:1050–4.

13. Weidenthal DT, Schepens CL. Peripheral fundus changes abdominal with ocular contusion. Am J Ophthalmol. 1966; 62:465–77.

14. Azuma N, Hida T, Katsura H, et al. Retrospective survey of abdominal outcomes on rhegmatogenous retinal detachments associated with atopic dermatitis. Arch Ophthalmol. 1996; 114:281–5.

15. Coles RS, Laval J. Retinal detachments occurring in cataract abdominal with neurodermatitis. AMA Arch Ophthalmol. 1952; 48:30–9.

16. Matsuo N, Matsuo T, Shiraga F, et al. Photoreceptor outer abdominals in the aqueous humor of patients with atopic dermatitis and retinal detachment. Am J Ophthalmol. 1993; 115:21–5.

17. Matsuo T, Shiraga F, Matsuo N. Intraoperative observation of the vitreous base in patients with atopic dermatitis and retinal abdominal. Retina. 1995; 15:286–90.

18. Yoneda K, Okamoto H, Wada Y, et al. Atopic retinal detachment. Report of four cases and a review of the literature. Br J Dermatol. 1995; 133:586–91.

19. Goffstein R, Burton TC. Differentiating traumatic from nontraumatic retinal detachment. Ophthalmology. 1982; 89:361–8.

20. Jung SK, Park YH. The prophylactic effect of 360 degree endolaser photocoagulation for prevention of retinal detachment. J Korean Ophthalmol Soc. 2012; 53:977–81.

21. Laidlaw DA, Karia N, Bunce C, et al. Is prophylactic 360-degree laser retinopexy protective? Risk factors for retinal redetachment after removal of silicone oil. Ophthalmology. 2002; 109:153–8.

22. Koh HJ, Cheng L, Kosobucki B, Freeman WR. Prophylactic abdominal 360 degrees laser retinopexy for prevention of retinal detachment. Retina. 2007; 27:744–9.