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Keimyung Medical Journal 1989;8(2):380-386.
A Case of Coats' Disease Treated by Argon Laser Photocoagulation
Coats씨병 치험 1례
김광수; 김상진; 오준섭
Abstract
The authors have experienced a case of Coats' disease treated by argon laser photocoagulation in 17 vear-old female who visited to our department because of visual disturbance of her left eye. At her first visit; visual acuity was 1.2 in the right eye and hand motion in the left eye. Ophthalmoscopic examination of her left eye revealed telangiectatic vascular anomalies associated with massive exudation in the temporal peripera) retina and star-shaped hard exudates with edema in macula. Fluorescein angiogram of the same eye showed diffuse capillary nonperfusion areas and leaking dilated tortuous vessels with micro-and microaneurysms in the lesion. Argon laser photocoagulation was applicated to occlude the abnormal leaking vessels and in the surrounding retina 1 week after her first visit. Two weeks later; additional photocoagulation was performed in the same lesion and then we found that cill the abnormal vessels were covered with moderately white coagulums. Thereafter she was carefully followed and evaluated at 2-week (o 3-month intervals. Fifteen months after first photocoagulation; we noticed all the retinal vascular lesions were obliterated and replaced with the white glial tissue on the fundus examination and these findings were confirmed by fluorescein angiography; which disclosed complete obliteration of the abnormal vasculatures with little leakage. Final visual acuity of the left eye was 0.5.


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