Fovea-sparing coats disease: A rare clinical entity.

European Journal of Ophthalmology
Matteo Maria GirolamoTheodora Hadjistilianou

Abstract

To evaluate the rarity, clinical features and management of Coats disease characterized by fovea-sparing enhancing the importance of pediatric retinal screening and early management to maintain a good visual acuity. Retrospective analysis of approximately 40 patients affected by Coats disease between 2000 and 2020 at the Retinoblastoma Referral Center and Ophthalmology unit of the University of Siena in Italy. Two patients with fovea sparing Coats disease were included. Both presented an extrafoveal Coats disease (stage 2A by Shields classification) when they were 5 and 6 years old respectively.They had no anterior findings and a presenting visual acuity of 20/20 reflecting the early stage and a milder phenotype of the disease which are indeed more likely to be found in patients older than 3 years at presentation.Both presented telangiectasia and retinal exudation in the affected eye. Standard Argon laser photocoagulation and subsequently Cryotherapy were performed in the telangiectatic retinal periphery of both patients obtaining an excellent control and regression of the disease. Careful pediatric retinal screening and early management are crucial to ensure a good visual prognosis in such an early feature of Coats disease as ...Continue Reading

References

May 5, 2001·American Journal of Ophthalmology·J A ShieldsJ Cater
Sep 25, 2001·Radiology·P GalluzziG Filosomi
Mar 9, 2002·Retina·Jerry A Shields, Carol L Shields
Jun 10, 2011·The British Journal of Ophthalmology·Aparna Ramasubramanian, Carol L Shields
Mar 24, 2012·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·Samim GhorbanianIrini P Chatziralli
Oct 22, 2013·Survey of Ophthalmology·Eric J SiglerBarrett G Haik
Mar 22, 2019·International Ophthalmology·Xinyue YangGuanfang Su
May 28, 2019·Indian Journal of Ophthalmology·Mrittika SenJerry A Shields
May 28, 2019·Indian Journal of Ophthalmology·Carol L ShieldsJerry A Shields
Sep 24, 2019·Journal of Pediatric Ophthalmology and Strabismus·Lauren A DalvinCarol L Shields

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