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This abstract is assigned to session 21 - Free Papers IV - Potpourri
Presentation preference Oral presentation
TitleAnatomic and functional prognosis of vitreoretinal surgery in non-exudative uveitic retinal detachment
PurposeStudy the anatomic and functional outcomes of surgery in uveitic non-exudative retinal detachment (NERD).
MethodsRetrospective case series of consecutive eyes with uveitic NERD undergoing surgery between January 2012 and December 2019.
Results75 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).
ConclusionUveitic 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 interestNo
Authors 1
Last nameMAINGUY
Initials of first name(s)A
DepartmentOphthalmology
CityNantes, Paris
CountryFrance
Authors 2
Last nameWEBER
Initials of first name(s)M
DepartmentOphthalmology
CityNantes
CountryFrance
Authors 3
Last nameBODAGHI
Initials of first name(s)B
DepartmentOphthalmology
CityParis
CountryFrance
Authors 4
Last nameTOUHAMI
Initials of first name(s)S
DepartmentOphthalmology
CityParis
CountryFrance