Vitrectomy techniques in late-stage coats'-like exudative retinal detachment

Vitrectomy techniques in late-stage coats'-like exudative retinal detachment

Retinal telangiectasia is the hallmark of Coats' disease. In the late stages, leakage from these abnormal vessels can result in a total, bullous exudative retinal detachment with cholesterol-laden subretinal fluid. Secondary angle-closure glaucoma may result in a blind and painful eye which may...

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Bibliographic Details
Published in:Documenta ophthalmologica Vol. 90; no. 4; pp. 387 - 394
Main Authors: YOSHIZUMI, M. O, KREIGER, A. E, LEWIS, H, FOXMAN, B, HAKAKHA, B. A
Format: Journal Article
Language:English
Published: Dordrecht Springer 01-01-1995
Subjects:
Adult
Biological and medical sciences
Child
Child, Preschool
Diathermy
Exudates and Transudates - metabolism
Female
Humans
Infant
Male
Medical sciences
Ophthalmology
Reoperation
Retinal Detachment - pathology
Retinal Detachment - surgery
Retinal Vessels - pathology
Retinal Vessels - surgery
Retinopathies
Scleral Buckling
Surgical Instruments
Telangiectasis - complications
Telangiectasis - pathology
Telangiectasis - surgery
Treatment Failure
Treatment Outcome
Vitrectomy - instrumentation
Vitrectomy - methods
Vascular disease
Human
Retinal detachment
Eye disease
Retinopathy
Treatment
Surgery
Cardiovascular disease
Vitrectomy
Technique
Telangiectasia
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Description
Summary:Retinal telangiectasia is the hallmark of Coats' disease. In the late stages, leakage from these abnormal vessels can result in a total, bullous exudative retinal detachment with cholesterol-laden subretinal fluid. Secondary angle-closure glaucoma may result in a blind and painful eye which may require enucleation or evisceration. Surgical reattachment of the retina and destruction of the retinal telangiectasia may preserve these eyes. We have found that vitrectomy, internal drainage of subretinal fluid and cholesterol, direct treatment of the retinal telangiectasia with intraocular diathermy and intravitreal gas or silicone oil injection are effective surgical techniques for salvaging these severely damaged eyes.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0012-4486
1573-2622
DOI:10.1007/bf01268124