title: Vitrectomy techniques in late-stage Coats'-like exudative retinal detachment.
abstract: Retinal telangiectasia is the hallmark of Coats' disease. In the late stages, leakage from these abnormal vessels can result in a total, bullous exudative retinal detachment with cholesterol-laden subretinal fluid. Secondary angle-closure glaucoma may result in a blind and painful eye which may require enucleation or evisceration. Surgical reattachment of the retina and destruction of the retinal telangiectasia may preserve these eyes. We have found that vitrectomy, internal drainage of subretinal fluid and cholesterol, direct treatment of the retinal telangiectasia with intraocular diathermy and intravitreal gas or silicone oil injection are effective surgical techniques for salvaging these severely damaged eyes.
authors.affiliation: Department of Ophthalmology, UCLA School of Medicine, Jules Stein Eye Institute 90095, USA.
authors.forename: M O
authors.initials: MO
authors.lastname: Yoshizumi
authors.forename: A E
authors.initials: AE
authors.lastname: Kreiger
authors.forename: H
authors.initials: H
authors.lastname: Lewis
authors.forename: B
authors.initials: B
authors.lastname: Foxman
authors.forename: B A
authors.initials: BA
authors.lastname: Hakakha
mesh_terms: D000328:Adult; D002648:Child; D002675:Child, Preschool; D003972:Diathermy; D005122:Exudates and Transudates / Q000378:metabolism; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012086:Reoperation; D012163:Retinal Detachment / Q000473:pathology / Q000601:surgery*; D012171:Retinal Vessels / Q000473:pathology / Q000601:surgery; D012591:Scleral Buckling; D013525:Surgical Instruments; D013684:Telangiectasis / Q000150:complications / Q000473:pathology / Q000601:surgery; D017211:Treatment Failure; D016896:Treatment Outcome; D014821:Vitrectomy / Q000295:instrumentation / Q000379:methods*