Hua Rui, Zhang Meixia
Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610041, China.
Department of Ophthalmology, First Hospital of China Medical University, Shenyang 110001, China.
Diagnostics (Basel). 2021 May 19;11(5):909. doi: 10.3390/diagnostics11050909.
Retinal vein occlusion (RVO) is a differential diagnosis for Coats' disease due to retinal arterial Leber's aneurysms. Occasionally, RVO shows a Coats-like appearance. The differential diagnosis between Coats' disease and RVO is essential for clinical therapy, especially for those obsolete RVOs with collateral vessels and without retinal hemorrhage. In this case report, we describe and discuss the imaging characteristics of bilateral RVO-simulated Coats' disease with tortuous retinal arterioles and its prognosis after anti-vascular endothelial growth factor therapy, which will be beneficial for its definite diagnosis and aid further investigation.
视网膜静脉阻塞(RVO)是由于视网膜动脉型莱伯动脉瘤导致的科茨病的鉴别诊断。偶尔,RVO会呈现出类似科茨病的外观。科茨病与RVO之间的鉴别诊断对于临床治疗至关重要,尤其是对于那些存在侧支血管且无视网膜出血的陈旧性RVO。在本病例报告中,我们描述并讨论了伴有迂曲视网膜小动脉的双侧RVO模拟科茨病的影像学特征及其抗血管内皮生长因子治疗后的预后,这将有助于其明确诊断并辅助进一步研究。