[Vitrectomy for severe Coats' disease].
OBJECTIVE
To investigate the outcome of vitreoretinal surgery for severe Coats' disease.


METHODS
From December 1995 to December 1999, trans pars plana vitrectomy was performed in 11 patients (11 eyes) diagnosed as Coats' disease. Ten of them were complicated with total retinal detachment, and the other one had tractional retinal detachment caused by epiretinal proliferation. All these patients were followed up from 3 months to 4.5 years.


RESULTS
All of the patients obtained useful vision except 1 patient whose operation was given up because of severe shortening of the retina. Three patients had the visual acuity higher than 0.02, and the best vision was 0.2. Obliteration of all abnormal vessels and resorption of all exudate was found postoperatively from 1 month to 3 months. Although the retina had been reattached in 10 patients during the operation, re-detachment was found in 4 patients postoperatively. After therapy all re-detached retina was reattached. The success rate was 90.9%.


CONCLUSIONS
Vitrectomy with endolaser or scleral cryotherapy is an ideal therapy for severe Coats' disease, although the visual prognosis is still limited. It can preserve the limited vision, and prevent the severe complications such as rubeosis iridis, glaucoma, and phthisis bulbi.
Jiang
Rui
R
Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai 200031, China. rui-jiang@china.com
Chen
Qinyuan
Q
Wang
Wenji
W
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D017679:Cryotherapy / Q000379:methods; D005122:Exudates and Transudates / Q000378:metabolism; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017075:Laser Coagulation / Q000379:methods; D008297:Male; D011379:Prognosis; D012163:Retinal Detachment / Q000150:complications / Q000601:surgery*; D012164:Retinal Diseases / Q000150:complications / Q000601:surgery*; D012171:Retinal Vessels / Q000473:pathology; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology*; D014821:Vitrectomy / Q000379:methods*