Microincision vitrectomy for secondary epiretinal membrane in adult-onset Coats’ disease
We report a case of a 20-year-old male who presented with a gradual painless decrease of vision in his left eye. Best-corrected visual acuity (BCVA) was 20/20 in the right eye and 20/200 in the left eye. Anterior segment examination was normal for both eyes. Left eye indirect ophthalmoscopy revealed...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2019-07-01
|
| Series: | Delhi Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.7869/djo.480 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849314263395467264 |
|---|---|
| author | Manmath Das Priyanka Chaudhary Abhishek Varshney |
| author_facet | Manmath Das Priyanka Chaudhary Abhishek Varshney |
| author_sort | Manmath Das |
| collection | DOAJ |
| description | We report a case of a 20-year-old male who presented with a gradual painless decrease of vision in his left eye. Best-corrected visual acuity (BCVA) was 20/20 in the right eye and 20/200 in the left eye. Anterior segment examination was normal for both eyes. Left eye indirect ophthalmoscopy revealed the presence of a thick epiretinal membrane (ERM) along with telangiectatic vessels and subretinal lipid deposits in inferotemporal quadrant which became more obvious on Fluorescein angiography. Spectral-domain optical coherence tomography (SD-OCT) of left macula revealed a thick ERM with tangential contraction. The patient was diagnosed as adult-onset Coats' disease (Stage 2A) with ERM. The patient underwent standard 25 gauge pars plana vitrectomy with ERM peeling followed by cryotherapy of the telangiectatic vessels. Postoperatively there was a decrease in the amount of subretinal lipid deposition with scarring and obliteration of telangiectatic vessels and BCVA improved to 20/20, N6 which remained stable throughout follow-up. |
| format | Article |
| id | doaj-art-b81ffca337ad4b0caa8fdbd5a7ca51b9 |
| institution | Kabale University |
| issn | 0972-0200 2454-2784 |
| language | English |
| publishDate | 2019-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Delhi Journal of Ophthalmology |
| spelling | doaj-art-b81ffca337ad4b0caa8fdbd5a7ca51b92025-08-20T03:52:29ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842019-07-01301495110.7869/djo.480Microincision vitrectomy for secondary epiretinal membrane in adult-onset Coats’ diseaseManmath DasPriyanka ChaudharyAbhishek VarshneyWe report a case of a 20-year-old male who presented with a gradual painless decrease of vision in his left eye. Best-corrected visual acuity (BCVA) was 20/20 in the right eye and 20/200 in the left eye. Anterior segment examination was normal for both eyes. Left eye indirect ophthalmoscopy revealed the presence of a thick epiretinal membrane (ERM) along with telangiectatic vessels and subretinal lipid deposits in inferotemporal quadrant which became more obvious on Fluorescein angiography. Spectral-domain optical coherence tomography (SD-OCT) of left macula revealed a thick ERM with tangential contraction. The patient was diagnosed as adult-onset Coats' disease (Stage 2A) with ERM. The patient underwent standard 25 gauge pars plana vitrectomy with ERM peeling followed by cryotherapy of the telangiectatic vessels. Postoperatively there was a decrease in the amount of subretinal lipid deposition with scarring and obliteration of telangiectatic vessels and BCVA improved to 20/20, N6 which remained stable throughout follow-up.https://journals.lww.com/10.7869/djo.480adult-onset coats’ diseaseepiretinal membrane (erm)pars plana vitrectomycryotherapy |
| spellingShingle | Manmath Das Priyanka Chaudhary Abhishek Varshney Microincision vitrectomy for secondary epiretinal membrane in adult-onset Coats’ disease Delhi Journal of Ophthalmology adult-onset coats’ disease epiretinal membrane (erm) pars plana vitrectomy cryotherapy |
| title | Microincision vitrectomy for secondary epiretinal membrane in adult-onset Coats’ disease |
| title_full | Microincision vitrectomy for secondary epiretinal membrane in adult-onset Coats’ disease |
| title_fullStr | Microincision vitrectomy for secondary epiretinal membrane in adult-onset Coats’ disease |
| title_full_unstemmed | Microincision vitrectomy for secondary epiretinal membrane in adult-onset Coats’ disease |
| title_short | Microincision vitrectomy for secondary epiretinal membrane in adult-onset Coats’ disease |
| title_sort | microincision vitrectomy for secondary epiretinal membrane in adult onset coats disease |
| topic | adult-onset coats’ disease epiretinal membrane (erm) pars plana vitrectomy cryotherapy |
| url | https://journals.lww.com/10.7869/djo.480 |
| work_keys_str_mv | AT manmathdas microincisionvitrectomyforsecondaryepiretinalmembraneinadultonsetcoatsdisease AT priyankachaudhary microincisionvitrectomyforsecondaryepiretinalmembraneinadultonsetcoatsdisease AT abhishekvarshney microincisionvitrectomyforsecondaryepiretinalmembraneinadultonsetcoatsdisease |