J Korean Ophthalmol Soc > Volume 57(8); 2016 > Article
Journal of the Korean Ophthalmological Society 2016;57(8):1233-1240.
DOI: https://doi.org/10.3341/jkos.2016.57.8.1233    Published online August 15, 2016.
Clinical Characteristics of Retinal Detachment Associated with Atopic Dermatitis.
Seong Chan Choi, Han Joo Cho, Dong Won Lee, Sung Won Cho, Chul Gu Kim, Jong Woo Kim, Hyoung Seok Kim
Myunggok Eye Research Institute, Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea. burnlife@kimeye.com
아토피 환자에서 발생한 망막박리의 임상적 양상
최성찬⋅조한주⋅이동원⋅조성원⋅김철구⋅김종우⋅김형석
건양대학교 의과대학 김안과병원 안과학교실 명곡안연구소
Correspondence:  Hyoung Seok Kim,
Email: burnlife@kimeye.com
Received: 25 February 2016   • Revised: 2 May 2016   • Accepted: 23 June 2016
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).
Key Words: Atopic dermatitis;Cataract;Retinal detachment


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