Department of Opthomology, Ophthalmic Research Centre, Shahid Beheshti University (M.C.), Tehran, Iran.
Indian J Ophthalmol. 2010 Jan-Feb;58(1):80-2. doi: 10.4103/0301-4738.58482.
A 13-year-old boy was referred because of visual deterioration in his right eye. The visual acuity was two meters of counting fingers. Indirect ophthalmoscopy and biomicroscopy revealed exudative macular edema as well as tumor-like telangiectatic vessels and exudation in temporal periphery. With diagnosis of Coats' disease (stage II) confirmed by fluorescein angiography, three intravitreal injections of bevacizumab were performed at 6-week intervals. One year after the last injection, there was a significant resolution of macular edema as well as visual acuity improvement to 20/20. This is the first case report in which a distinct improvement in macular edema was observed with intravitreal bevacizumab in Coats' disease.
一位 13 岁男孩因右眼视力下降就诊。他的视力只有两米指数。间接检眼镜和生物显微镜检查发现渗出性黄斑水肿以及肿瘤样毛细血管扩张和颞侧周边渗出。荧光素血管造影证实诊断为 Coats 病(II 期),每隔 6 周进行三次玻璃体内注射贝伐单抗。最后一次注射后 1 年,黄斑水肿明显消退,视力提高至 20/20。这是首例报道 Coats 病患者接受玻璃体内贝伐单抗治疗后黄斑水肿明显改善的病例。