Vitrectomy for epimacular membrane secondary to adult-onset Coats' disease.
The authors describe the management of an epimacular membrane secondary to adult-onset Coats' disease. A 26-year-old man presented with decreased vision (20/120) in the right eye for 4 months. Fundus examination revealed features suggestive of Coats' disease, with a thick epimacular membrane. Optical coherence tomography revealed underlying macular thickening. The patient underwent vitrectomy with removal of the epimacular membrane and internal limiting membrane; peripheral telangiectasia were simultaneously photocoagulated. Postoperatively, his visual acuity improved to 20/20, which remained stable for 12 months. Vitrectomy yields an excellent anatomical and functional outcome in epimacular membrane due to adult-onset Coats' disease, if performed before macular exudation leads to subretinal fibrosis.
Retina-Vitreous Service, Aravind Eye Hospital, Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India.
Dhananjay
D
Shukla
Somnath
S
Chakraborty
Umesh C
UC
Behera
Ramasamy
R
Kim
D000328:Adult; D001485:Basement Membrane / Q000601:surgery; D019773:Epiretinal Membrane / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D005451:Fluorescein Angiography; D006801:Humans; D017075:Laser Coagulation; D008297:Male; D012164:Retinal Diseases / Q000150:complications*; D012171:Retinal Vessels / Q000473:pathology; D013684:Telangiectasis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D041623:Tomography, Optical Coherence; D014792:Visual Acuity; D014821:Vitrectomy