伴有视网膜脉络膜吻合的科茨病。

Coats' disease with retinochoroidal anastomosis.

作者信息

Rishi Pukhraj, Rishi Ekta, Bhojwani Deepak

机构信息

Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, Tamil Nadu, India.

出版信息

Oman J Ophthalmol. 2017 May-Aug;10(2):112-113. doi: 10.4103/ojo.OJO_196_2014.

DOI:10.4103/ojo.OJO_196_2014

PMID:28757699

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5516455/

Abstract

A 4-year-old girl presented with decreased vision since 3 months. Visual acuity was 20/20 in right eye and counting fingers at 2 meters in the left. Left eye examination revealed exotropia, retinal telangiectasia, extensive subretinal exudation over the macula and exudative retinal detachment suggestive of Coats' disease. Fundus fluoroscein angiography highlighted the hallmark 'light bulb' retinal telangiectasias, macular retinochoroidal anstamosis and peripheral nonperfused retina. The patient was treated with focal laser photocoagulation to the retinal telangiectatic vessels and scatter laser photocoagulation of the non-perfused retina.

摘要

一名4岁女孩自3个月前起出现视力下降。右眼视力为20/20，左眼在2米处能数指。左眼检查发现外斜视、视网膜毛细血管扩张、黄斑区广泛的视网膜下渗出以及渗出性视网膜脱离，提示为科茨病。眼底荧光血管造影突出显示了典型的“灯泡样”视网膜毛细血管扩张、黄斑视网膜脉络膜吻合以及周边无灌注视网膜。该患者接受了针对视网膜毛细血管扩张血管的局部激光光凝治疗以及对无灌注视网膜的散在激光光凝治疗。