Shukla Dhananjay, Chakraborty Somnath, Behera Umesh C, Kim Ramasamy
Retina-Vitreous Service, Aravind Eye Hospital, Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India.
Ophthalmic Surg Lasers Imaging. 2008 May-Jun;39(3):239-41. doi: 10.3928/15428877-20080501-15.
The authors describe the management of an epimacular membrane secondary to adult-onset Coats' disease. A 26-year-old man presented with decreased vision (20/120) in the right eye for 4 months. Fundus examination revealed features suggestive of Coats' disease, with a thick epimacular membrane. Optical coherence tomography revealed underlying macular thickening. The patient underwent vitrectomy with removal of the epimacular membrane and internal limiting membrane; peripheral telangiectasia were simultaneously photocoagulated. Postoperatively, his visual acuity improved to 20/20, which remained stable for 12 months. Vitrectomy yields an excellent anatomical and functional outcome in epimacular membrane due to adult-onset Coats' disease, if performed before macular exudation leads to subretinal fibrosis.
作者描述了成人期科茨病继发黄斑前膜的治疗。一名26岁男性,右眼视力下降(20/120)4个月。眼底检查发现有科茨病的特征,伴有增厚的黄斑前膜。光学相干断层扫描显示黄斑下方增厚。患者接受了玻璃体切除术,切除黄斑前膜和内界膜;同时对周边毛细血管扩张进行了光凝治疗。术后,他的视力提高到20/20,并在12个月内保持稳定。如果在黄斑渗出导致视网膜下纤维化之前进行玻璃体切除术,对于成人期科茨病继发的黄斑前膜,能产生优异的解剖学和功能学效果。