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Br J Ophthalmol 91:303-306 doi:10.1136/bjo.2006.103382
  • Clinical science
    • Scientific reports

Observations on the management of Coats’ disease: less is more

Table 1

 Characteristics of the 10 patients treated for Coats’ disease

No. Age,years* Presenting visual acuity Latest visual acuity Number of quadrants with telangiect-asia* Retinal detachment* Macular findings* Surgery Treatment during follow-up Follow-up,years Comments and status
*At time of presentation to ophthalmologist.
C, cryopexy; CF, counts fingers; G, 15% C3F8 gas exchange; I, indirect laser photocoagulation; HM, hand motions; LP, light perception; ?LP, presumed light perception; M, preretinal membrane peel; NLP, no light perception; O, intraocular silicone oil; P, posterior sclerotomy with subretinal fluid drainage; R, retinotomy with subfoveal fibrovascular membrane removal; RD, retinal detachment; SR, subretinal; TPDL, trans-pupillary diode laser; V, vitreous infusion; Vt, vitrectomy.
1 6 20/300 20/60 2 Inferior Fibrosis V, P, C TPDL 1 month 3 Chronic inferior RD
(fig 1) bullous postop for with SR fibrosis
recurrent lesion
2 5 NLP NLP 4 Total Exudate V, P, C None 2.5 Phthisical, dense
bullous white cataract
3 1.8 ?LP NLP 3 Total Exudate V, P, C Recurrence of 1
exudative
detachment,
declined
further
treatment
4 3 ?LP NLP 3 Total Exudate V, P, C None 2 Periorbital cellulitis,
bullous persistent SR fibrosis
5 3 LP NLP 4 Total bullous Fibrosis V, P, C None 2 Persistent SR fibrosis
6 2.5 NLP HM 3 Total Exudate 1) V, P, C Second surgery at 4.5 Silicone oil in-situ,
bullous 2) Vt, M, 4 months for persistent SR fibrosis
I, O persistent RD
7 7 CF 1 foot 20/200 2 Temporal Organised Vt, R, G, I None 1
(30.48 cm) subretinal
fibrosis
8 7 LP (fig 2) NLP 4 Total Fibrosis Vt, P, C, M 3 laser 4 Chronic tractional
bullous detachment and
preretinal fibrosis
9 6 CF 4 feet 20/300 1 No Fibrosis None 1 cryopexy 2
(1.23 m)
10 4.5 20/40−2 20/300 1 No Exudate None 2 laser 1

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