High-density vitreous substitute in the management of advanced Coats' disease.

Shu Ya Wu, Jau Der Ho, Cheng Lien Ho, San Ni Chen, Ray Jui fang Tsai

Research output: Chapter in Book/Report/Conference proceedingChapter

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Abstract

Advanced Coats' disease is a threat to vision. Management of advanced Coats' disease has long been a challenge to ophthalmologists. Some people have attempted to use pars plana vitrectomy and intraocular diathermy on diseased vessels followed by intraocular gas or silicone oil injection. However, internal drainage is technically difficult. We present a case of advanced Coats' disease for which, after an encircling buckle and pars plana vitrectomy, intravitreal injection of perfluorodecaline was used to displace the subretinal fluid to the peripheral subretinal space, and transscleral external drainage was achieved. Finally panretinal laser photocoagulation, cryotherapy and endodiathermy were performed on diseased vessels. Visual improvement and reattachment of the posterior pole were achieved. So we think a high-density vitreous substitute can be a useful adjunct in the management of advanced Coats' disease. It minimizes the disadvantages of the internal or external approaches, while maintaining most of the advantages of both.

Original languageEnglish
Title of host publicationChang Gung medical journal
Pages128-132
Number of pages5
Volume25
Edition2
Publication statusPublished - Feb 2002
Externally publishedYes

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ASJC Scopus subject areas

  • Medicine(all)

Cite this

Wu, S. Y., Ho, J. D., Ho, C. L., Chen, S. N., & Tsai, R. J. F. (2002). High-density vitreous substitute in the management of advanced Coats' disease. In Chang Gung medical journal (2 ed., Vol. 25, pp. 128-132)