title: Retrospective survey of surgical outcomes on rhegmatogenous retinal detachments associated with atopic dermatitis.
abstract: OBJECTIVE
  To determine the clinical features and surgical outcomes of retinal detachment associated with atopic dermatitis.
  
  
  METHODS
  One hundred twenty-one eyes of 98 patients with atopic dermatitis and rhegmatogenous retinal detachment were surgically treated and followed up for 1 year or longer. Fundus examination data on retinal breaks and detachment, and follow-up data on anatomic reattachment were obtained and compared between phakic and aphakic eyes using the chi 2 test.
  
  
  RESULTS
  Breaks were often multiple and located at the ora serrata (72%) and in the ciliary epithelium (15%). Irregularly shaped breaks (13.5%) and giant breaks (16%) also were seen. Most detachments (71%) were localized and shallow. No significant difference was identified with or without a history of cataract surgery. The prognosis after the initial surgery (reattachment rate, 72%) was unfavorable because of new break formation, but the results of reoperation (reattachment rate, 93%) were as successful.
  
  
  CONCLUSIONS
  Patients with atopic dermatitis may have an abnormality in the anterior retina and ciliary epithelium that predisposes to retinal detachment. Findings suggest a possible traumatic trigger and the need to perform an encircling scleral buckle procedure with widespread retinopexy initially in these patients.
authors.affiliation: Department of Ophthalmology, National Children's Hospital, Tokyo, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Azuma
authors.forename: T
authors.initials: T
authors.lastname: Hida
authors.forename: H
authors.initials: H
authors.lastname: Katsura
authors.forename: S
authors.initials: S
authors.lastname: Takeuchi
authors.forename: S
authors.initials: S
authors.lastname: Danjo
authors.forename: Y
authors.initials: Y
authors.lastname: Tano
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003452:Cryosurgery; D003625:Data Collection; D003876:Dermatitis, Atopic / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012163:Retinal Detachment / Q000150:complications / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D012591:Scleral Buckling; D016896:Treatment Outcome