Buyck A, Casteels I, Dralands L, Missotten L
Department of Ophthalmology, U.Z. K.U.L., Leuven.
Bull Soc Belge Ophtalmol. 1991;241:61-68.
From 1985 till 1990 twenty-three children aged seven weeks to six years presented with a retrolental white mass. Six children had retinoblastoma, six Coats' disease, five retinopathy of prematurity, four persistent hyperplastic primary vitreous, one cysticercosis and one retinal detachment. Retinoblastoma and Coats' disease was only seen in children over eight months, whereas persistent hyperplastic primary vitreous and retinopathy of prematurity all presented before the age of six months. Differentiation between Coats' disease and retinoblastoma is not always easy. Most helpful for the diagnosis is to perform funduscopy under general anaesthesia with special attention to the vasculature. Ultrasounds are helpful, but can give confusing results. Cytological analysis of subretinal fluid is useful in Coats' disease.
从1985年至1990年，23名年龄在7周龄至6岁的儿童出现晶状体后白色肿物。其中6名患有视网膜母细胞瘤，6名患有科茨病，5名患有早产儿视网膜病变，4名患有持续性增生性原发性玻璃体，1名患有囊尾蚴病，1名患有视网膜脱离。视网膜母细胞瘤和科茨病仅见于8个月以上的儿童，而持续性增生性原发性玻璃体和早产儿视网膜病变均在6个月龄之前出现。科茨病和视网膜母细胞瘤的鉴别并不总是容易的。最有助于诊断的是在全身麻醉下进行眼底检查，特别注意血管系统。超声检查有帮助，但可能会给出令人困惑的结果。视网膜下液的细胞学分析对科茨病有用。
