Resolution of exudative retinal detachment and regression of retinal macrocyst post-laser in Coats disease

A 15-year-old boy presented with painless progressive blurring of vision in the right eye for 1 year in duration. His visual acuity in the right eye was hand movement. The right fundus showed presence of extensive subretinal exudates at the posterior pole and a retinal macrocyst at the temporal peri...

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Bibliographic Details
Published in:International medical case reports journal 2013-01, Vol.6 (default), p.37-39
Main Authors: Munira, Yusoff, Zunaina, Embong, Azhany, Yaakub
Format: Article
Language:English
Subjects:
Care and treatment
Case Report
Case reports
Case studies
Diagnosis
Gene expression
Laser therapy
Lasers
Patient outcomes
Physiological aspects
Retina
Retinal detachment
Retinal diseases
Vascular endothelial growth factor
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Summary:A 15-year-old boy presented with painless progressive blurring of vision in the right eye for 1 year in duration. His visual acuity in the right eye was hand movement. The right fundus showed presence of extensive subretinal exudates at the posterior pole and a retinal macrocyst at the temporal periphery. It was associated with exudative retinal detachment at the inferior periphery of the retina. Fundus angiography revealed telangiectatic retinal vessels at the superotemporal retina. Based on clinical and angiographic findings, a diagnosis of Coats disease was made. He was treated with retinal laser photocoagulation. There was resolution of the exudative retinal detachment, reduction of subretinal exudates, and regression of the retinal macrocyst with improvement of visual acuity to 1/60 post-laser therapy.
ISSN:1179-142X
1179-142X
DOI:10.2147/IMCRJ.S47769