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All Journal Jurnal SainHealth Vision Science and Eye Health Journal IJRETINA - International Journal of Retina Ophthalmologica Indonesiana
Sasono, Wimbo
Department Of Ophthalmology, Faculty Of Medicine Universitas Airlangga, Dr. Soetomo General Academic Hospital Surabaya, Indonesia
Biochemistry, Genetics & Molecular Biology Chemistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Neglected Coats Disease: Determining the Most Appropriate Treatment: Poster Presentation - Case Report - Resident Anastasia, Ruth; Yustiarini, Ima; Prakosa, Ady Dwi; Widjaja, Sauli Ari; Firmansjah, Muhammad; Sasono, Wimbo
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/bjhhjr84

Abstract

Introduction : Coats disease is defined as retinal telangiectasia and aneurysm with retinal exudation that typically found in unilateral eyes of young male. This condition remains a diagnostic challenge because of its varied presentation. Case Illustration : A 12-years-old boy presented with a chief complaints of vision loss and pain in the right eye in the last 3 months and gradually blurred vision for a year. Visual acuity was positive light perception in the right eye and 5/5 in the left eye. Intraocular pressure of the right eye was 43.4 mmHg and 15mmHg of the left eye. Slit lamp examination of the right eye revealed conjunctival hyperemia, slightly corneal oedema, iris neovascularization, xantocoria, dilated pupil. Bullous total exudative retinal detachment with telangiectasia in all quadrants was found in the ophthalmoscopy examination of the right eye and left eye is within normal limit. The patient was diagnosed with stage IV coats disease and antiglaucoma agents was given as initial treatment. Discussion : Coats disease is a clinical diagnosis that can be assessed by clinical triad of exudative retinal detachment, irregularly-dilated telangiectatic vessel, and peripheral nonperfusion and can be supported by the diagnostic tools such as Ultrasonography, OCT, CT-Scan and MRI. Treatment of coats disease varies depend on the stage. In stage IV coats disease, external drainage is the most appropriate treatment. The more advanced stages demonstrating poor visual acuity both at presentation and at the time of final visit Conclusion : Majority of coats disease cases present with advanced stage therefore cause limited treatment option and poorer prognosis.
Co-Authors Ady Dwi Prakosa Ady Dwi Prakosa Ady Dwi Prakosa Ady Dwi Prakosa Anastasia, Ruth Danang Yoga Wiguna Denisa Rosati Firda Ayu Muthie Firmansjah, Muhammad Frisma Sagara Brilliyanto Gatut Suhendro Ifan Romadhon Lukmana Ima Yustiarini Ima Yustiarini Ima Yustiarini Ima Yustiarini Kartika, Amelia Rahmah Moestidjab Moestidjab Moestidjab Moestidjab Moestidjab Moestidjab Nandang Sudrajat Nurainy Trias Setyoputri Prakosa, Ady Dwi Pramesti, Karina Ayu Ramadhan, Ferdian Ruchyta Ranti Sauli Ari Widjaja Sauli Ari Widjaja Sauli Ari Widjaja Sauli Ari Widjaja Soelistijo, Soebagijo Adi Widjaja, Sauli Ari Yustiarini, Ima