Bilateral Coats Reaction in Bannayan–zonana Syndrome: A Single Case Report

Klifto, Meredith R; Balaratnasingam, Chandrakumar; Weissman, Harold; Yannuzzi, Lawrence A.

doi:10.1097/icb.0000000000000349

Cited by 3 publications

(1 citation statement)

References 10 publications

(15 reference statements)

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“…This is an important differentiation because it influences the choice of treatment. Peripheral telangiectasia can be found in such diseases and syndromes as aplastic anemia, Bannayan-Zonaya syndrome, cutis marmorata telangiectatica congenita, multiple sclerosis, Takayasu arteritis, Cornelia de Lange syndrome, familial exudative vitreoretinopathy, ge-netic myopathies, dyskeratosis congenital, Coats-like retinitis pigmentosa, and intraocular tumors [23][24][25][26][27][28][29][30][31][32][33][34][35].…”

Section: Definitions Classification and Presentationmentioning

confidence: 99%

Idiopathic Peripheral Retinal Telangiectasia in Adults: A Case Series and Literature Review

Gawęcki¹

2021

JCM

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Idiopathic peripheral retinal telangiectasia (IPT), often termed as Coats disease, can present in a milder form with the onset in adulthood. The goal of this case series study and literature review was to describe and classify different presenting forms and treatment of this entity and to review contemporary methods of its management. Six cases of adult onset IPT were described with the following phenotypes based on fundus ophthalmoscopy, fluorescein angiography, and optical coherence tomography findings: IPT without exudates or foveal involvement, IPT with peripheral exudates without foveal involvement, IPT with peripheral exudates and cystoid macular edema, and IPT with peripheral and macular hard exudates. Treatments applied in this series included observation, laser photocoagulation, and anti-vascular endothelial growth factor (VEGF) treatment with variable outcomes depending upon the extent of IPT, the aggressiveness of laser treatment, and the stringency of follow-up. The accompanying literature review suggests that ablative therapies, especially laser photocoagulation, remain the most effective treatment option in adult-onset IPT, with anti-VEGF therapy serving as an adjuvant procedure. Close follow-up is necessary to achieve and maintain reasonable good visual and morphological results.

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