Anatomic and functional prognosis of vitreoretinal surgery in non-exudative uveitic retinal detachment
Purpose
Study the anatomic and functional outcomes of surgery in uveitic non-exudative retinal detachment (NERD).
Methods
Retrospective case series of consecutive eyes with uveitic NERD undergoing surgery between January 2012 and December 2019.
Results
75 eyes of 70 patients were included. Uveitic NERD was infectious in 73.3% of cases. Posterior and panuveitis accounted for 96.4% of included eyes. Proliferative vitreoretinopathy (PVR) was present in 28.2% of eyes at baseline. The first surgery consisted in vitrectomy alone, scleral buckling alone (SB) or both in respectively 88%, 4% and 8% of cases. Reattachment rate was 75 % after 1 surgery (100% in case of SB) and 89.3% after ≥ 2 surgeries. The mean best corrected visual acuity (BCVA) was 1.5±0.8 logMAR at presentation improving to 1.1±0.9 logMAR at the last follow up (36.6±23.5 months)(p<0.001). At the last follow up, 66,6% of eyes reached a countable BCVA (≥20/400 Snellen). After multivariate analysis, the predictive factors of final BCVA≥20/400 were: having baseline BCVA≥20/400 (OR=6.1, p=0.01), activity of baseline ocular inflammation (OR=0.2, p=0.015) and retinal detachment (RD) relapse during the follow up (OR=0.1, p=0.001). The predictive factors of final retinal reattachment were: having baseline BCVA≥20/400(OR=11.3, p=0.05), and relapse within the first 6 weeks of surgery (OR=0.1, p=0.03).
Conclusion
Uveitic NERD has a good anatomic outcome especially when SB is used. For the first time, presence of active inflammation at the time of RD seems to cause the poorest visual outcomes.
Conflict of interest
No
Authors 1
Last name
MAINGUY
Initials of first name(s)
A
Department
Ophthalmology
City
Nantes, Paris
Country
France
Authors 2
Last name
WEBER
Initials of first name(s)
M
Department
Ophthalmology
City
Nantes
Country
France
Authors 3
Last name
BODAGHI
Initials of first name(s)
B
Department
Ophthalmology
City
Paris
Country
France
Authors 4
Last name
TOUHAMI
Initials of first name(s)
S
Department
Ophthalmology
City
Paris
Country
France
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