Intravitreal Ranibizumab Injection and Retinal Laser Photocoagulation Treatment for Adult-Onset Coats Disease

Abstract

Purpose: To describe the evolution of a case of adult-onset Coats disease and the results of treatment with intravitreal ranibizumab and laser photocoagulation.Methods: Observational case report.Case report: A 17-year-old girl presented with vision loss in her right eye (20/50) showing aneurysmatic and abnormal telangiectatic vessels associated with profuse lipid exudation and serous retinal detachment within the temporal posterior pole. The diagnosis of Coats disease was established and therapy with intravitreal injections of ranibizumab and photocoagulation was initiated achieving control of the exudative manifestations leading to restoration of visual acuity (20/20).Conclusion: Treatment with antiangiogenic agents before laser photocoagulation may be useful for treatment of adult-onset Coats disease.