Kumar Vinod, Kumar Pradeep, Garg Gaurav, Damodaran Saurabh
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Indian J Ophthalmol. 2017 Nov;65(11):1246-1248. doi: 10.4103/ijo.IJO_546_17.
The occurrence of full thickness macular hole in Coats' disease is extremely rare. The purpose of this case report is to report pars plana vitrectomy for the treatment of full thickness macular hole in a patient with adult onset Coats disease. A young male presented with decreased vision in his right eye because of full thickness macular hole. The macular hole was found to be associated with adult onset Coats' disease that was evident on ultra-wide field imaging. The patient underwent laser photocoagulation to the vascular telangiectasia followed by pars plana vitrectomy, large internal limiting membrane peeling and gas tamponade. This resulted in regression of exudation, closure of macular hole and improvement in vision. Coats disease of adult onset can present with decreased vision because of full thickness macular hole. Vitrectomy with internal limiting membrane peeling can result in excellent visual outcome.
在科茨病中出现全层黄斑裂孔极为罕见。本病例报告的目的是报告经扁平部玻璃体切除术治疗一名成年起病的科茨病患者的全层黄斑裂孔。一名年轻男性因全层黄斑裂孔导致右眼视力下降。在超广角成像中发现黄斑裂孔与成年起病的科茨病有关。该患者先接受了针对血管扩张的激光光凝治疗，随后进行了经扁平部玻璃体切除术、大范围的内界膜剥除及气体填充。这导致渗出消退、黄斑裂孔闭合且视力改善。成年起病的科茨病可因全层黄斑裂孔而导致视力下降。行玻璃体切除术并剥除内界膜可带来极佳的视觉效果。
