양안에 발생한 코우츠병 1예

• 영문명: Bilateral Coats' Disease: A Case Report
• 발행기관: 대한안과학회
• 저자명: 마대중 최진 장지웅 김정훈 김성준 유영석,Dae Joong Ma, MD, Jin Choi, MD, Ji Woong Jang, MD, Jeong Hun Kim, MD,, Seong Joon Kim, MD,, Young Suk Yu, MD, PhD,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume52,number1, 112~116쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2011.01.15

영문 초록

Purpose: To report a case of bilateral Coats' disease. Case summary: A 19-month-old boy presented with esodeviation of his eyes, which started 5 months prior. A fundus exam showed total bullous exudative retinal detachment with retinal vascular telangiectasia in the right eye and localized exudative retinal detachment with vascular telangiectasia at the inferior periphery in the right eye. Fluorescein angiogram of the left eye showed retinal telangiectatic vessels, avascular area and fluorescein leakeage from telangiectatic vessels. The patient received external drainage of subretinal fluid and intravitreal air injection of the right eye and Argon LASER photocoagulation and cryotheraphy of the left eye. A cytologic exam of the subretinal fluid drained from the right eye showed no malignant cells. Forty-four months after the operation, his best corrected visual acuity was no light perception in the right eye and 0.4 in the left eye. Both fundi were flat and stable. No complications, such as glaucoma, recurred retinal detachment, or pain, occurred. Conclusions: Coats' disease rarely occurs bilaterally and can be involved asymmetrically. The disease presents more severely when bilateral and can progress after long-term observation. Proper treatment and long-term follow-up of both eyes are necessary to prevent visual loss and preserve eyes. J Korean Ophthalmol Soc 2011;52(1):112-116

키워드

Coats' disease, Exudative retinal detachement, Retinal telangiectasia