Kubota T, Kurihara K, Ishibashi T, Inomata H
Department of Ophthalmology, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Ophthalmologica. 1995;209(1):44-6. doi: 10.1159/000310576.
We report the clinicohistopathological findings of the proliferative vitreoretinopathy in an eye with Coats' disease using the tissue obtained during surgery. A 28-year-old man, who had experienced poor vision in his right eye for a period of 4 years, was referred to our hospital. Examination revealed an extensive yellow exudate in the subretinal space and a tractional retinal detachment. Prominent teleangiectatic retinal vessels were also temporally present. Evident epiretinal membranes were present in the postequatorial area. We performed a scleral buckling, vitrectomy, membrane peeling, endophotocoagulation and silicone oil tamponade. A histological examination revealed that the epiretinal membrane consisted of collagen fibers, glial proliferation, foam cells and lymphocytes. The foam cell in the epiretinal membrane is a characteristic finding in an eye with Coats' disease.
我们使用手术中获取的组织，报告了1例患有科茨病的眼睛增殖性玻璃体视网膜病变的临床组织病理学发现。一名28岁男性，右眼视力不佳4年，转诊至我院。检查发现视网膜下间隙有广泛的黄色渗出物和牵拉性视网膜脱离。颞侧还可见明显的视网膜血管扩张。赤道后区域存在明显的视网膜前膜。我们进行了巩膜扣带术、玻璃体切除术、膜剥除术、眼内光凝术和硅油填充术。组织学检查显示，视网膜前膜由胶原纤维、胶质细胞增生、泡沫细胞和淋巴细胞组成。视网膜前膜中的泡沫细胞是科茨病患者眼睛的特征性表现。
