Alexandridou Anastassia, Stavrou Panagiota
Birmingham and Midland Eye Centre, City Hospital NHS Trust, Birmingham, UK.
Acta Ophthalmol Scand. 2002 Feb;80(1):98-100. doi: 10.1034/j.1600-0420.2002.800120.x.
To report on the long-term follow-up of a female patient with bilateral Coats' disease, who showed marked asymmetry between the two eyes.
A five year old girl presented in 1978 with leukocoria in a blind right eye. A total exudative retinal detachment and extensive retinal telangiectasiae were noted. In the other eye, there was a localized area of retinal exudation and vascular abnormality in the supero-temporal periphery. Ultrasonography showed no evidence of intraocular tumour in the right eye and a clinical diagnosis of bilateral Coats' disease was made.
In 1995, the area or retinal exudation in the left eye increased and laser photocoagulation was applied successfully. To date, no disease recurrences have occurred.
Although Coats' disease is usually unilateral, bilateral, asymmetrical involvement may occur on rare occasions. Long-term follow-up of the least affected eye is necessary so that late complications can be identified early and treated adequately to prevent visual loss.
报告一名双侧Coats病女性患者的长期随访情况，该患者双眼表现出明显不对称。
一名5岁女孩于1978年就诊，右眼失明并伴有白瞳症。检查发现右眼完全性渗出性视网膜脱离及广泛的视网膜毛细血管扩张。左眼颞上周边部有局限性视网膜渗出及血管异常。超声检查显示右眼无眼内肿瘤迹象，遂做出双侧Coats病的临床诊断。
1995年，左眼视网膜渗出面积增大，成功实施了激光光凝治疗。迄今为止，未出现疾病复发情况。
尽管Coats病通常为单侧性，但罕见情况下可出现双侧不对称受累。对受累较轻的眼睛进行长期随访很有必要，以便早期发现并妥善治疗晚期并发症，防止视力丧失。
