A macular hole in a female adult with bilateral coats disease.
OBJECTIVE
To report a case of a macular hole in a female adult with bilateral Coats disease.


METHODS
The fundus photograph, fundus fluorescein angiography (FFA) and indocyanine green angiography (ICGA) were performed in two eyes, and observed theirs characters.


RESULTS
Fundus photograph showed massive yellowish-white exudation in the temporal midperiphery of both eyes, but the degree was slighter in the right eye. There was 1/3 DD macular hole in left eye. FFA revealed general dilatation of capillaries, multiple aneurysms, and tortuous and closure of vessels in superotemporal midperiphery in both eyes, but the degree was slighter in the right eye. There was a one-third DD round transmitted fluorescence according the macula hole. ICGA revealed that hyperfluorescence of aneurysms in superotemporal midperiphery, the images of aneurysms were more clearly than in FFA. There was a 2/3 DD hypoflurescence of macula in the late phase of angiography.


CONCLUSIONS
FFA and ICGA have respective advantage in revealing vascular abnormalities of Coats disease. Maybe there was some relationship between the abnormalities of retinal vascular and hypoperfusion of choroidial vascular in macula in this case.
Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China.
Changzheng
C
Chen
Feng
F
Wen
Libing
L
Jiang
Lezheng
L
Wu
D000328:Adult; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D007208:Indocyanine Green; D008266:Macula Lutea / Q000473:pathology; D012163:Retinal Detachment / Q000150:complications / Q000175:diagnosis*; D012164:Retinal Diseases / Q000150:complications / Q000175:diagnosis*; D015861:Retinal Neovascularization / Q000175:diagnosis; D012167:Retinal Perforations / Q000150:complications / Q000175:diagnosis*; D012171:Retinal Vessels / Q000002:abnormalities* / Q000473:pathology; D013684:Telangiectasis / Q000150:complications* / Q000175:diagnosis
D007208:Indocyanine Green