Bilateral Long Standing Exudative Retinal Detachment in Coat's Disease
Purpose: Coat's disease presents with an exudative retinal detachment at an early age. However, bilateral involvement is uncommon. We present a case with bilateral long standing retinal detachment (RD) in Coat's disease. Methods: An 18 years old male having progressive diminution of vision...
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| Main Author: | |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2021-10-01
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| Series: | Delhi Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.7869/djo.720 |
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| Summary: | Purpose:
Coat's disease presents with an exudative retinal detachment at an early age. However, bilateral involvement is uncommon. We present a case with bilateral long standing retinal detachment (RD) in Coat's disease.
Methods:
An 18 years old male having progressive diminution of vision from last six years had visual acuity of logmar 1.77 and 1.47 in the right eye (RE) and left eye (LE) respectively with poorly dilating pupils in both eyes. He did not have any systemic abnormality. We did a detailed fundus examination along with fundus fluorescein angiography (FFA) and OCT.
Result:
The fundus examination showed subretinal exudates with demarcation line above long standing infero-temporal RD in RE. The LE had a self-settled RD with an atrophic temporal retina having macrocysts. There was no proliferative vireo-retinopathy (PVR) in either eye. The fundus fluorescein angiography (FFA) showed leaks at the exudates in RE and leak at the optic disc in LE. The optical coherence tomography (OCT) showed RD in RE and self-settled RD with subretinal exudate in LE.
Conclusion:
The manuscript shows a bilateral long-standing exudative RD in Coat's disease with associated features like subretinal exudates showing leaks in angiography, demarcation line, macrocysts, retinal atrophy with underlying choroidal flush, absence of PVR and self-settlement of RD. |
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| ISSN: | 0972-0200 2454-2784 |