A Case of Coats' Disease Accompanying A Retinal Macrocyst

Young Rae Roh; Jeong Hun Kim; Young Suk Yu

doi:10.3341/jkos.2010.51.3.453

Journal List > J Korean Ophthalmol Soc > v.51(3) > 1008770

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Roh, Kim, and Yu: A Case of Coats' Disease Accompanying A Retinal Macrocyst

Original Article

J Korean Ophthalmol Soc 2010;51(3):453-456.

Published online: 25 September 2010

DOI: https://doi.org/10.3341/jkos.2010.51.3.453

A Case of Coats' Disease Accompanying A Retinal Macrocyst

Young Rae Roh, MD¹, Jeong Hun Kim, MD^1,², Young Suk Yu, MD^1,^2,

¹Department of ophthalmology, Seoul National University College of Medicine, Seoul, Korea

²Seoul Artificial Eye Center, Seoul National University, Clinical Research Institute, Seoul, Korea

Address reprint requests to Young Suk Yu, MD Department of ophthalmology, Seoul National University Hospital #101 DaeHang-Ro, JongNo-gu, Seoul 110-744, Korea Tel: 82-2-2072-3492, Fax: 82-2-741-3187, E-mail: ysyu@snu.ac.kr

Received 19 June 2009 Accepted 4 November 2009

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report a case of laser photocoagulation treatment for the patient of Coats' disease accompanying a retinal macrocyst.

Case summary

A three-year-old boy visited the hospital whose chief complaint was visual acuity decrease of his left eye. Fundus examination showed macular scar, foveal hard exudates and inferior retinal cystic lesion in his left eye. Two months later, examination under anesthesia (EUA) and fluorescein angiography (FAG) was performed. The results revealed inferior retinal macrocyst, nasal avascular retina and telangiectasia around the retinal macrocyst. Laser photocoagulation was performed around the retinal macrocyst and at the nasal avascular retina. One year after the laser photocoagulation, retinal macrocyst did not further progress and the retina was stabilized.

Conclusions

Laser photocoagulation was done around the retinal macrocyst and at the nasal avascular retina of the Coats' disease accompanying a retinal macrocyst and the lesions did not further progress and the retina was stabilized.

Keywords: Coats's disease, Laser photocoagulation, Retinal macrocyst

References

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Figure 1.

Fundus photograph of the left eye taken on the day of the first visit. (A) Large retinal cystic lesion at the inferior to the inferotemporal major arcade is observed. (B) Foveal hard exudates and macular scar changes are also observed.

Figure 2.

Ultrasonography of the left eye taken on the day of the first visit. Cystic lesion and intracystic hypoechoic signals are observed.

Figure 3.

Fluorescein angiogram before the laser photocoagulation during the examination under anesthesia shows retinal macrocyst (A), telangiectatic vessel around the macrocyst and nasal avascular area (B).

Figure 4.

Fundus photograph taken after the laser photocoagulation during the examination under anesthesia. Laser photocoagulation treatment was performed around the macrocyst (A) and at the nasal avascular area (B).

Figure 5.

Fundus photograph taken one year after the laser photocoagulation. Retinal macrocyst (A) and nasal avascular area (B) are not progressed and stabilized.

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