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Rhegmatogenous Retinal Detachment in Anterior Scleritis With Ulcerative Colitis.
Bannu Jayallan1, Mohd Hasif Mustafa1, Norshamsiah Md Din1
1Department of Ophthalmology, Hospital Canselor Tuanku Muhriz Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
Cureus
|July 8, 2024
Summary
This case report details a rare instance of rhegmatogenous retinal detachment (RRD) in a patient with ulcerative colitis (UC). Successful surgical intervention for RRD was achieved after managing active scleritis, highlighting a unique diagnostic and treatment challenge.
Area of Science:
- Ophthalmology
- Gastroenterology
- Immunology
Background:
- Rhegmatogenous retinal detachment (RRD) is a critical ocular condition requiring immediate surgical attention.
- Ulcerative colitis (UC), an immune-mediated disease, can manifest with ocular complications, posing diagnostic challenges.
Observation:
- A 35-year-old male with active UC presented with chronic red eye and was diagnosed with anterior scleritis and subclinical inferior RRD.
- Initial management involved laser barricade and corticosteroids, leading to scleritis resolution but subsequent RRD progression.
Findings:
- The case highlights the diagnostic and management dilemmas of RRD associated with UC and scleritis.
- Surgical intervention (scleral buckle, laser retinopexy) combined with perioperative steroids was successful after scleritis resolved and RRD progressed.
Implications:
- This report underscores the importance of considering RRD in UC patients with ocular inflammation.
- Optimal timing for RRD surgery in UC patients with concurrent scleritis is crucial for successful outcomes.
- Management requires a multidisciplinary approach, balancing immunosuppression for UC and surgical intervention for RRD.
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