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科茨病患者血管增生性肿瘤的管理:当代的多种治疗方法

Management of Vasoproliferative Tumor in a Patient With Coats' Disease: Multiple Therapeutic Approach in Current Era.

作者信息

Bottazzi Leonardo, L'Abbate Gaia, Fossataro Claudia, Savastano Maria Cristina, Sacconi Riccardo, Rizzo Stanislao, Bandello Francesco, Querques Giuseppe

机构信息

From the Division of Head and Neck, Ophthalmology Unit, IRCCS Ospedale San Raffaele, Milan.

School of Medicine, Vita-Salute San Raffaele University, Milan.

出版信息

Ophthalmic Surg Lasers Imaging Retina. 2025 Aug;56(8):502-505. doi: 10.3928/23258160-20250522-01. Epub 2025 Jun 18.

Abstract

This case report describes a vasoproliferative tumor in a 16-year-old male patient with Coats' disease, treated with laser photocoagulation, cryoablation, and anti-vascular endothelial growth factor injections therapies, that developed an epiretinal membrane as a complication. The surgical treatment in association with the retinal laser treatment greatly improved visual acuity. At 8 months follow-up from surgery, visual acuity had significantly improved, and macular anatomy recovered. Vasoproliferative tumors may occur in patients with Coats' disease, and in such a clinical scenario, a multiple therapeutical approach should be considered, in order to reach the best anatomical and functional outcome for the patient.

摘要

本病例报告描述了一名患有科茨病的16岁男性患者的血管增生性肿瘤,该患者接受了激光光凝、冷冻消融和抗血管内皮生长因子注射治疗,治疗后出现视网膜前膜并发症。手术治疗联合视网膜激光治疗显著提高了视力。术后8个月随访时,视力显著改善,黄斑解剖结构恢复。血管增生性肿瘤可能发生在科茨病患者中,在这种临床情况下,应考虑采用多种治疗方法,以便为患者实现最佳的解剖和功能结果。

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