Coats' disease - disease of the eye rarely encountered by pathologists

Fernandes, Hilda; Umashankar, T; Richie, Anto J; Hegde, Sunayana

doi:10.4103/ijpm.ijpm_826_16

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…India still accounts for nearly one-third of retinoblastoma cases in the Asia Pacific region. 9 In our study common age of presentation was between 2 to 3 years.…”

Section: Retinal Dystrophiesmentioning

confidence: 50%

Etiological Study of Various Retinal Diseases in Paediatric Population at a Tertiary Eye Centre, Telangana State

Sultana¹,

Hyndavi²

2019

jemds

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BACKGROUND Paediatric retinal diseases are very different from adults, presentation is unique compared to adults, various hereditary and acquired causes of retinal disorders are discussed in our study. Though we have significantly advanced techniques to diagnose, still management of these cases is really challenging to vitreo retinal surgeons. We wanted to study various causes of retinal diseases seen in the paediatric population at a tertiary eye hospital in Telangana state. METHODS All paediatric cases presented to vitreo-retinal department of Sarojini Devi Eye Hospital were studied in detail from electronic medical records to know the various retinal diseases in children. Retrospective study was done. Patients of different age groups who presented from paediatric ophthalmology dept. for indirect ophthalmoscopy were examined in detail. Data of patients who presented to vitreoretinal dept. during June 2016 to June 2018 were collected from the records. All patients underwent detailed ocular and systemic examination, and management was done based on the clinical presentation. 120 patients were referred during the two-year period from paediatric ophthalmology department to retina dept.; age range was between 2 to 15 years; mean age of presentation was 9 years, most of the patients were male. RESULTS All 120 patients were examined in detail and treated based on the clinical presentation, many conditions were congenital; acquired causes were also noted. Results were not favourable due to delayed presentation. CONCLUSIONS Early detection of low vision in children helps to prevent blindness. Regular and frequent screening programmes at schools also help in preventing blindness in children.

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“…India still accounts for nearly one-third of retinoblastoma cases in the Asia Pacific region. 9 In our study common age of presentation was between 2 to 3 years.…”

Section: Retinal Dystrophiesmentioning

confidence: 50%

Etiological Study of Various Retinal Diseases in Paediatric Population at a Tertiary Eye Centre, Telangana State

Sultana¹,

Hyndavi²

2019

jemds

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“…Second is the degeneration of abnormal pericytes and endothelial cells, causing aneurysms and the closure of vessels leading to ischemia [ 11 ]. This process generates lipid-rich exudation into the retina, which can lead to changes in the retina, including thickening, cyst formation, or retinal detachment [ 5 ]. These changes are comparable to the changes occurring in diabetic retinopathy [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…The presentation can be varied with a range of signs, the most common being decreased visual acuity followed by strabismus and leukocoria or xanthocoria. Similarly, pain, iris heterochromia, and nystagmus have also been reported as a presenting signs [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Rhegmatogenous retinal detachment in Coats’ disease: a case report

2021

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Background Coats’ disease was originally defined as a unilateral idiopathic exudative retinopathy in young males, characterized by abnormal retinal vascular telangiectasia with intraretinal and subretinal lipid exudation. The retinal detachment is usually exudative. Herein, we describe a case of rhegmatogenous retinal detachment with detectable retinal break in a patient with Coats’ disease. Case presentation A 15-year-old Indo-Aryan male patient presented with sudden painless diminution of vision in his right eye of 4 days duration. Upon examination, the anterior segment in both eyes and left fundus was within normal limits. Dilated fundus evaluation of the right eye revealed telangiectasia of the retinal vessels, with subretinal exudation in superotemporal and superonasal quadrants and presence of subretinal fluid in the superotemporal area extending into fovea. There was also presence of single flap horseshoe tear in the superotemporal quadrant at around the 10 o’clock position in the equatorial region, with no secondary changes. The retina was reattached with encircling band buckle combined with vitrectomy and silicon oil tamponade. Seven months post vitrectomy, lenticular opacification developed, for which he underwent silicon oil removal, along with lens aspiration and implantation of foldable intraocular lens. Over the period of 1 year, his best corrected visual acuity improved from 6/60 to 6/18 in the affected eye at the last follow-up visit. The recovery was uneventful following the subsequent surgery. Conclusion Coats’ disease has a remarkable diversity in clinical presentation and morphology. The disease can also present with an underlying break, which may not be attributed to any iatrogenic modality. The treatment modalities in coats’ disease should be tailored individually due to the low incidence of the disease and the great variation in severity upon presentation. Prompt management restores the best possible anatomical outcome and maintains good vision.

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Coats’ Disease, The 2018 Brief

Selim

2019

Asp Biomed Clin Case Rep

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Purpose/Aim of the study: Authors planned to study articles published in 2018 to find out the latest update on this rare condition. Materials and Methods: Pubmed search was conducted with 2018 in focus as a year of publication including only articles on humans and in English language. Results: out of 22 articles published in 2018, only 7 were found relevant on human subjects and in English language. Conclusions: Newer treatment modalities were tried in 2018 as well as the old well approved modalities.

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Coats' disease - disease of the eye rarely encountered by pathologists

Cited by 4 publications

References 6 publications

Etiological Study of Various Retinal Diseases in Paediatric Population at a Tertiary Eye Centre, Telangana State

Etiological Study of Various Retinal Diseases in Paediatric Population at a Tertiary Eye Centre, Telangana State

Rhegmatogenous retinal detachment in Coats’ disease: a case report

Coats’ Disease, The 2018 Brief

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