| Presentation preference | Oral presentation |
| Title | 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 |
