On the Cause of the Ophthalmoscopic Appearances in Amaurotic Family Idiocy

Coats, George

doi:10.1177/003591571600901708

Cited by 2 publications

(1 citation statement)

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“…Coats disease is a unilateral exudative retinopathy occurring in boys and characterised by retinal vascular anomalies, intraretinal and subretinal lipid exudation 1 2. Retinal vascular abnormalities include telangiectasia, microaneurysms, peripheral capillary dropout and both large-vessel-wall aneurysms and arteriovenous communications 3…”

Section: Introductionmentioning

confidence: 99%

Management of lipid exudates in Coats disease by adjuvant intravitreal triamcinolone: effects and complications

Othman¹,

Moussa

Bouhaimed

2009

British Journal of Ophthalmology

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AIM To evaluate the role of intravitreal Triamcinolone (TA) in the early management of Coats disease. METHODS Retrospective, interventional case series. RESULTS 15 consecutive cases with Coats disease were managed with 4 mg/0.1 ml intravitreal TA injection on presentation and were followed for a minimum of 1 year duration. Additional management strategies including drainage of subretinal fluid through an inferior sclerotomy, peripheral laser ablation and/or cryotherapy, cataract extraction and vitrectomy were performed. Improvement of visual acuity could be achieved compared with preoperative vision in all cases in this series, even when 40% needed cataract extraction with intraocular lens implantation. One patient needed antiglaucoma treatment to control raised intraocular pressure in this series. CONCLUSIONS Triamcinolone has a role in improving the rate of absorption of subretinal fluid and macular exudates in Coats disease. The major complication of 4 mg/0.1 ml intravitreal triamcinolone is cataract in 40% of cases in children.

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Section: Introductionmentioning

confidence: 99%