Rhegmatogenous Retinal Detachment Masquerading as Panuveitis: Case Report
10.21561/jor.2025.10.1.113
- Author:
Suji YEO
1
;
Ha Ryung PARK
;
Min Ho KIM
;
Yoo-Ri CHUNG
Author Information
1. Department of Ophthalmology, Ajou University School of Medicine, Suwon, Korea
- Publication Type:CASE REPORT
- From:
Journal of Retina
2025;10(1):113-117
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:To report three cases of rhegmatogenous retinal detachment initially presenting as anterior chamber inflammation and retinal detachment, mimicking panuveitis.Case summary: Three patients were referred with unilateral persistent panuveitis and retinal detachment that failed to resolve despite several weeks of corticosteroid therapy. No retinal breaks were identified on fundus examinations, and assessment of peripheral retina was particularly limited in two pseudophakic patients. Based on a diagnosis of concurrent anterior uveitis and suspected rhegmatogenous retinal detachment, all patients underwent surgery. Postoperatively, the retinal detachments resolved completely, and retinal breaks were identified in the far-periphery during vitrectomy. Anterior segment inflammation was effectively controlled with intensive topical steroid therapy after surgery.
Conclusions:Significant anterior segment inflammation may obscure rhegmatogenous retinal detachment, mimicking serous or exudative detachment associated with uveitis. Unidentified retinal breaks should be considered, particularly in uveitic patients with pseudophakia, minimal vitreous cells, and persistent retinal detachment despite systemic corticosteroid treatment.
