Case of adult-onset Coats' disease with epiretinal membrane treated with 25-gauge pars plana vitrectomy
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- Mino Akiko
- Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School
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- Mitamura Yoshinori
- Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School
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- Katome Takashi
- Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School
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- Semba Kentaro
- Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School
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- Egawa Mariko
- Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School
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- Naito Takeshi
- Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School
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- タイトル別名
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- Case of adult-onset Coats' disease with epiretinal membrane treated with 25-gauge pars plana vitrectomy
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We describe a case of untreated adult-onset Coats' disease with a proliferative epiretinal membrane (ERM) treated successfully with 25-gauge pars plana vitrectomy (25GPPV). A 26-year-old man presented with a 3-week history of decreased vision in his left eye. At the initial examination, the decimal best-corrected visual acuity (BCVA) was 0.7 in the left eye. Ophthalmoscopy revealed the typical appearance of Stage 2A Coats' disease but with a proliferative ERM in the posterior pole. The patient received 2 monthly intravitreal injections of 2.5 mg bevacizumab, 5 laser photocoagulations to the area of telangiectasia, and 1 session of cryoretinopexy. Nine months after the initial visit, a traction by the ERM on the parafoveal area developed causing macular edema which reduced the BCVA to 0.3. He underwent 25GPPV with the removal of the ERM. In addition, the peripheral telangiectasia was treated intraoperatively with both laser photocoagulation and cryoretinopexy. Postoperatively, the traction to the parafoveal area was released and the BCVA improved to 0.6 which remained stable during the follow-up period of 13 months. We conclude that 25GPPV combined with ERM peeling, laser photocoagulation, and cryoretinopexy can be effective for adult-onset Coats' disease associated with an ERM. J. Med. Invest. 62: 85-88, February, 2015
収録刊行物
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- The Journal of Medical Investigation
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The Journal of Medical Investigation 62 (1.2), 85-88, 2015
国立大学法人 徳島大学医学部
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詳細情報 詳細情報について
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- CRID
- 1390001204244998656
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- NII論文ID
- 130005129702
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- NII書誌ID
- AA11166929
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- ISSN
- 13496867
- 13431420
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- PubMed
- 25817290
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- 本文言語コード
- en
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