J Korean Ophthalmol Soc.  2010 Apr;51(4):623-625. 10.3341/jkos.2010.51.4.623.

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

• Lee NE
• Chung IY
• Seo SW
• Park JM
• Song JK

• KMID: 2213409
• DOI: http://doi.org/10.3341/jkos.2010.51.4.623

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.

Keyword

Coats' disease; Photocoagulation; Premacular membrane

MeSH Terms

Adolescent
Argon
Eye
Hemorrhage
Humans
Light Coagulation
Male
Membranes
Telangiectasis
Tomography, Optical Coherence
Visual Acuity
Argon

Figure

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  Figure 1. Fundus photograph of the patient's right eye at the initial examination. Premacular membrane is seen.

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  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.

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  Figure 3. Fundus photograph of the patient's right eye at 2 weeks after laser photocoagulation. The premacular membrane was retracted.

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  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.

Reference

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