The morbidity rate for retinopathy of unknown origin was significantly
higher (P<0.001) in the chronic hepatitis C group, 27 (31.8%) of 85 c
ases, than in the control group, 6 (6.0%) of 100 cases. Among hepatiti
s C virus (HCTV)-associated retinopathy patients, 6 cases (22.2%) were
aware of ocular subjective symptoms, retinopathy recurred in 8 (29.6%
) cases, binocular retinopathy occurred in 14 (51.9%) cases, and retin
opathy related to liver dysfunction, in 13 (81.3%) of 16 tested cases.
HCV-associated retinopathy involved hemorrhage at the posterior pole
retina in 21 (77.8%), cotton-wool patches in 9 (33.3%), and hemorrhage
at the peripheral retina in 7 (25.9%) cases. Sequelae occurred in onl
y one case. Retinopathy worsened or recurred in all 7 cases treated wi
th interferon. The risk factors for HCV-associated retinopathy were mi
ld thrombocytopenia (P<0.001), longterm hepatitis illness (P<0.005), a
dvanced age (P<0.02), concurrence with liver cirrhosis (P<0.02), histo
ry of systemic hypertension (P<0.05), and female gender (P<0.05).