A Case of Coats' Disease With Spontaneous Peeling of Premacular Membrane After Photocoagulation

Na Eun Lee; In Young Chung; Seong Wook Seo; Jong Moon Park; Jun Kyoung Song

doi:10.3341/jkos.2010.51.4.623

Journal List > J Korean Ophthalmol Soc > v.51(4) > 1008798

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Lee, Chung, Seo, Park, and Song: A Case of Coats' Disease With Spontaneous Peeling of Premacular Membrane After Photocoagulation

Original Article

J Korean Ophthalmol Soc 2010;51(4):623-625.

Published online: 25 September 2010

DOI: https://doi.org/10.3341/jkos.2010.51.4.623

A Case of Coats' Disease With Spontaneous Peeling of Premacular Membrane After Photocoagulation

Na Eun Lee, MD¹, In Young Chung, MD, PhD^1,^2,, Seong Wook Seo, MD^1,², Jong Moon Park, MD, PhD^1,², Jun Kyoung Song, MD, PhD^1,²

¹Department of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea

²Institute of Health Science, Gyeongsang National University, Jinju, Korea

Address reprint requests to In-Young Chung, MD, PhD Department of Ophthalmology, Colleage of Medicine, Gyeong Sang National University #92 Chilam-dong, Jinju 660-751, Korea Tel: 82-55-750-8170, Fax: 82-55-758-4158, E-mail: inyoung@gnu.ac.kr

Received 25 May 2009 Accepted 15 December 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 patient with Coats' disease who presented with a premacular membrane that was peeled off after laser photocoagulation.

Case summary

A 17-year-old male presented with decreased visual acuity of the right eye, and showed serous elevation, subretinal hemorrhage, telangiectasis and thick premacular membrane upon fundus examination. Upon diagnosis with Coats' disease, the telangiectatic area was treated with argon laser photocoagulation. Two weeks later, the premacular membrane was peeled off spontaneously and the decrease of macular thickness was verified by optical coherence tomography (OCT). The patient's visual acuity was improved to 1.0.

Conclusions

The visual acuity of the patient with Coats' disease was improved by spontaneous peeling of the premacular membrane after photocoagulation.

Keywords: Coats' disease, Photocoagulation, Premacular membrane

References

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Figure 1.

Fundus photograph of the patient's right eye at the initial examination. Premacular membrane is seen.

Figure 2.

The OCT finding of the patient's right eye at the initial examination. The macular thickness of the patient was 528 μm with premacular membrane.

Figure 3.

Fundus photograph of the patient's right eye at 2 weeks after laser photocoagulation. The premacular membrane was retracted.

Figure 4.

The OCT finding of the patient's right eye at 2 weeks after laser photocoagulation. The premacular membrane was peeled off and the macular thickness was decreased to 257 μm.

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