Delayed closure of paediatric macular hole in Coats’ disease

Wong, Sui Chien; Neuwelt, Melissa D.; Trese, Michael T.

doi:10.1111/j.1755-3768.2011.02244.x

Cited by 9 publications

(16 citation statements)

References 4 publications

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“…In previous reports, OCT findings in FTMH with Coats disease have included 1 case with thin membranous tissue [3], 1 case with epiretinal membrane (ERM) [6], and 2 cases with no macular traction [4,5]. In the present case, OCT showed no sign of vitreomacular traction, ERM.…”

Section: Discussionmentioning

confidence: 44%

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Full-Thickness Macular Hole with Coats Disease: A Case Report

Hashimoto¹,

Arai²,

Makino³

et al. 2020

Case Rep Ophthalmol

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We report a case of full-thickness macular hole (FTMH) which developed during follow-up for Coats disease. To our knowledge, this is the first report on a case of FTMH which developed during follow-up for Coats disease. A 17-year-old boy was referred to our institution with blurred vision in his left eye. Fundus examination showed yellowish subretinal exudates with overlying telangiectatic retinal vessels in the temporal periphery in the left eye; the right eye was normal. Fluorescein angiography revealed diffusion indicative of temporal peripheral vascular leakage. We made a diagnosis of stage 2A Coats disease and performed argon laser photocoagulation (PC). Moreover, he received intravitreal injection of anti-vascular endothelial growth factor. At 30 months after the first visit, the best-corrected visual acuity (BCVA) of the left eye worsened to 20/50. We observed tensioned internal limiting membrane (ILM), serous macular detachment (SMD) and retinal thinning; the intraretinal exudate remained. We performed PC and at 36 months after the first visit, BCVA further declined to 20/63 in his left eye and FTMH was observed. We then performed a 27-gauge pars plana vitrectomy and ILM peeling following which the FTMH was found to have closed by 4 days after vitrectomy. SMD gradually decreased, and BCVA improved to 20/20. Chronic inflammation by peripheral vascular leakage and PC application might have caused FTMH. In this case, the vitrectomy for FTMH with Coats disease provided good visual and anatomic outcomes.

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Section: Discussionmentioning

confidence: 44%

“…FTMH with Coats disease has rarely been reported [3][4][5][6][7][8] and the pathogenesis of FTMH is unknown. To our knowledge, this is the first report of a patient with Coats disease who developed FTMH.…”

Section: Discussionmentioning

confidence: 99%

Full-Thickness Macular Hole with Coats Disease: A Case Report

Hashimoto¹,

Arai²,

Makino³

et al. 2020

Case Rep Ophthalmol

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“…Vitrectomy for macular diseases in Coats’ disease has been reported very rarely. [ 4 5 6 7 ] The authors reported good visual outcomes following PPV for such cases. With the availability of small gauge sutureless vitrectomy systems, safety and outcome of vitreoretinal surgeries have improved significantly.…”

Section: Discussionmentioning

confidence: 96%

“…However, vitrectomy for the macular involvement in Coats’ disease has been limited to a few case reports. [ 4 5 ]…”

mentioning

confidence: 99%

Vitrectomy for epiretinal membrane in adult-onset Coats' disease

Kumar

2017

Indian J Ophthalmol

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Coats’ disease is characterized by retinal vascular telangiectasia and subretinal and intraretinal exudation. A relatively benign form of the disease that occurs in adults is referred to as adult-onset Coats’ disease. Involvement of macula in the form of macular edema and exudation are the common presenting features in both forms of the disease. We describe a rare case of adult-onset Coats’ disease that presented with epiretinal membrane (ERM). Laser photocoagulation of retinal vascular telangiectasia resulted in worsening of patient's symptoms and ERM. Early pars plana vitrectomy resulted in resolution of the patient's symptoms. Utility of ultra-wide-field imaging and rationale of early vitrectomy in such cases are discussed.

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“…[ 1 2 4 ] Macular hole is a rare occurrence in Coats’ disease, with only a handful of reported cases. [ 5 6 7 8 9 ] Surgical closure of the macular hole was attempted in only one report. [ 9 ] We report a case of macular hole in a patient with adult-onset Coats’ disease that was managed successfully with pars plana vitrectomy (PPV) and internal limiting membrane (ILM) peeling.…”

mentioning

confidence: 99%

Vitrectomy for full-thickness macular hole in adult-onset Coats' disease

Kumar

Garg

et al. 2017

Indian J Ophthalmol

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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.

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Delayed closure of paediatric macular hole in Coats’ disease

Cited by 9 publications

References 4 publications

Full-Thickness Macular Hole with Coats Disease: A Case Report

Full-Thickness Macular Hole with Coats Disease: A Case Report

Vitrectomy for epiretinal membrane in adult-onset Coats' disease

Vitrectomy for full-thickness macular hole in adult-onset Coats' disease

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