Retinal exsudative Gefäßerkrankungen im Kindesalter: Morbus Coats und familiär exsudative Vitreoretinopathie (FEVR)

Joussen, Antonia M.; Gordes, Roswitha S.; Heussen, Florian A.; Müller, B

doi:10.1055/s-0033-1350689

Cited by 10 publications

(5 citation statements)

References 18 publications

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“…Many studies, however, have analysed Asian populations [1,[12][13][14] , focused on specific predisposing pathologies [12,15] or solely included rhegmatogenous RD [3,9,10] . Here, we present a large European case series of a unit with 20 years' experience in RD management that includes all types of RD in 95 eyes of 87 children below 18 years of age.…”

Section: Discussionmentioning

confidence: 99%

“…This fact underlines the importance of a thorough bilateral examination of the retinal periphery to identify fellow eyes at risk of RD. In particular cases, i.e., with a suspected or confirmed history of prematurity or retinal exudative diseases such as FEVR, a wide-field fluorescein angiography can help to evaluate the indication for prophylactic laser treatment of the fellow eye [15,23] .…”

Section: Bilateral Rd and Fellow Eye Findingsmentioning

confidence: 99%

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Clinical Features and Outcome of Paediatric Retinal Detachment

Barth

Zeman²,

Helbig³

et al. 2017

Ophthalmologica

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Purpose: The aim of this study was to assess the clinical features and outcome of paediatric retinal detachment (RD). Methods: Ninety-five eyes of 87 children under 18 years of age with RD were assessed. The risk factors, morphology of RD, therapeutic approach and functional results were evaluated. Results: Sixty-seven boys and 20 girls with a mean age of 10.4 years (standard deviation 5.5) presented with RD. The following risk factors were identified: myopia (23%), congenital or developmental ocular abnormalities (37%), history of ocular trauma (40%) and previous ocular surgery (27%). Seventy-seven (81%) eyes underwent surgery. The primary reattachment rate was 44%. In 18%, reattachment was achieved after several surgeries. The overall recurrence rate after surgical reattachment was 39%. Conclusions: Paediatric RD is a sight-threatening condition. Often, aggravating factors, such as delayed diagnosis, hereditary ocular abnormalities or strong vitreous adherence, are present. Hopefully, modern surgical techniques may contribute to a better outcome of RD in the future.

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Section: Discussionmentioning

confidence: 99%

Section: Bilateral Rd and Fellow Eye Findingsmentioning

confidence: 99%

Clinical Features and Outcome of Paediatric Retinal Detachment

Barth

Zeman²,

Helbig³

et al. 2017

Ophthalmologica

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“…The differential diagnosis of peripheral exudative retinal vascular lesions includes ROP, Coats' disease, familial exudative vitreoretinopathy (FEVR), and Norrie's disease (ND) [ 6 , 7 , 10 ]. Lipid exudates may develop in FEVR, but the cases are usually healthy term infants with a positive family history, associated with bilateral peripheral retinal avascularity seen temporally [ 10 ]. FEVR cannot be excluded based on these findings, because X-linked recessive inheritance and FEVR cases in premature infants have been reported [ 11 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

Bilateral Coats’ Disease Combined with Retinopathy of Prematurity

Gürsoy

Erol

Bilgeç

et al. 2015

Case Reports in Ophthalmological Medicine

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Purpose. To report a case of bilateral Coats' disease combined with retinopathy of prematurity (ROP). Case. Retinal vascularization was complete in the right eye, whereas zone III, stage 3 ROP and preplus disease were observed in the left eye at 43 weeks of postmenstrual age (PMA) in a 31-week premature, 1200-g neonate. Intraretinal exudates developed and retinal hemorrhages increased in the left eye at 51 weeks of PMA. Diode laser photocoagulation (LP) was applied to the left eye. Exudates involved the macula, and telangiectatic changes developed one month following LP. Additional LP was applied to the left eye combined with intravitreal bevacizumab (IVB) injection at 55 weeks of PMA. Disease regressed one month after the additional therapy. At the 14-month examination of the baby, telangiectatic changes and intraretinal exudates were observed in the right eye. Diode LP was applied to the right eye combined with IVB injection. Exudates did not resolve completely, and cryotherapy was applied one month following LP. Retinal findings regressed three months following the cryotherapy. Conclusion. This is the first report of presumed bilateral Coats' disease combined with ROP. If Coats' disease could be diagnosed at early stages, it would be a disease associated with better prognosis.

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“…Coats disease is a well-known ophthalmologic disease, first described more than a century ago by the British ophthalmologist George Coats 1 . It is an idiopathic vitreoretinal exudative condition that threatens visual function of pediatric patients, with a special predilection for the male gender and unilateral presentation 2 , 3 , 4 . Clinical appearance is characteristic as retinal telangiectasias with intraretinal or subretinal exudation, in the absence of appreciable vitreoretinal traction 4 , 5 .…”

Section: Introductionmentioning

confidence: 99%

Coats Disease in 9 Patients: A Hispanic Case Series

Barrera-Sánchez

Martinez-Muñoz

Ruiz-Lozano

et al. 2021

Klin Monbl Augenheilkd

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Background/Aim To describe demographic and clinical characteristics, treatment, and visual prognosis of Coats disease in Hispanic patients. Methods A retrospective chart review was performed on nine patients (ten eyes) diagnosed with Coats disease in our two clinical centrers from 2004 – 2017. Results Mean age at diagnosis was 5.5 years (range 1 – 12 years) and mean follow-up time was 48 months (range 9 – 108 months). Eight patients (89%) were male and had unilateral disease and one (11%) female patient had bilateral disease. In 40% of the cases, patients were asymptomatic. Visual acuity at first presentation was worse than hand motion in 60% of the eyes. Half of the eyes (5/10 eyes, 50%) had exudative retinal detachment (≥ stage IIIA). Vascular ablation with cryotherapy combined with retinal photocoagulation was the most frequent therapeutic approach (40%). Despite anatomical success at 6 months in 100% of the treated eyes, visual outcome at 1 year of treatment was poor (worse than 20/200) in 70% of the cases. Conclusions In our case series, patients were mostly asymptomatic on presentation, with severe stages of Coats disease. Even with anatomical success after surgical treatment in all treated cases, long-term visual prognosis remained very limited.

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Retinal exsudative Gefäßerkrankungen im Kindesalter: Morbus Coats und familiär exsudative Vitreoretinopathie (FEVR)

Cited by 10 publications

References 18 publications

Clinical Features and Outcome of Paediatric Retinal Detachment

Clinical Features and Outcome of Paediatric Retinal Detachment

Bilateral Coats’ Disease Combined with Retinopathy of Prematurity

Coats Disease in 9 Patients: A Hispanic Case Series

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