Muftuoglu Gulipek, Gulkilik Gokhan
Department of Ophthalmology, Cerrahpasa Medical Faculty, Istanbul, Turkey.
Case Rep Ophthalmol. 2011 Jan 7;2(1):15-22. doi: 10.1159/000323616.
To report 5 cases of advanced Coats' disease managed with pars plana vitrectomy and silicone oil tamponade.
Five patients with advanced Coats' disease and serous or tractional retinal detachment underwent pars plana vitrectomy with internal drainage, endolaser photocoagulation and silicone oil tamponade. One patient had combined phacoemulsification-vitrectomy surgery. Of the 5 patients, 1 had intravitreal hemorrhage and a retinal macrocyst and 1 had a retinal cyst. Follow-up period was 1-6 years.
All patients had improved visual acuity after surgery. No intraoperative or postoperative complications were observed in any of the patients. The retina was attached and the disease was stable in all patients during follow-up. Two patients had cataract formation, and in one of them the cataract was successfully managed with phacoemulsification surgery.
Pars plana vitrectomy, subretinal fluid drainage, and long-term silicone oil tamponade are effective methods in the management of advanced Coats' disease. Early and prompt management can prevent visual loss and secondary complications.
报告5例采用玻璃体平坦部玻璃体切除术及硅油填充治疗的晚期Coats病病例。
5例晚期Coats病合并浆液性或牵拉性视网膜脱离患者接受了玻璃体平坦部玻璃体切除术，术中进行内引流、眼内激光光凝及硅油填充。1例患者接受了白内障超声乳化联合玻璃体切除术。5例患者中，1例有玻璃体积血和视网膜大囊肿，1例有视网膜囊肿。随访时间为1至6年。
所有患者术后视力均有提高。所有患者均未观察到术中或术后并发症。随访期间所有患者视网膜均复位，病情稳定。2例患者出现白内障，其中1例白内障经超声乳化手术成功治疗。
玻璃体平坦部玻璃体切除术、视网膜下液引流及长期硅油填充是治疗晚期Coats病的有效方法。早期及时治疗可预防视力丧失和继发性并发症。
