ABSTRACT
CLINICAL CASE: A 14 year-old boy with Coats' disease in his right eye, presented with a visual acuity (VA) of 0.1, micro-aneurysms, exudates, a macular oedema of 959 microns, and peripheral telangiectasias. After 12 months follow-up with 6 ranibizumab injections and 3 sessions of argon laser photocoagulation, the macular oedema remained and VA was 0.2. Following 4 aflibercept injections and another 2 laser sessions, he had a good foveal slope and a VA of 0.5, with no recurrences in the last 12 months. DISCUSSION: Treatment with aflibercept and argon laser was effective in our patient with stage 2B Coats' disease and macular oedema unresponsive to ranibizumab.
Subject(s)
Lasers, Gas/therapeutic use , Macular Edema/therapy , Receptors, Vascular Endothelial Growth Factor/antagonists & inhibitors , Recombinant Fusion Proteins/therapeutic use , Retinal Telangiectasis/therapy , Adolescent , Combined Modality Therapy , Humans , Macular Edema/complications , Male , Receptors, Vascular Endothelial Growth Factor/therapeutic use , Remission Induction , Retinal Telangiectasis/complicationsABSTRACT
Caso clínico: Un niño de un año y cinco meses de edad con lesiones coriorretinianas maculares en ambos ojos, cuya madre tuvo la varicela durante el embarazo. Discusión: Las cicatrices son sugestivas de retinocoroiditis infecciosa congénita, pero por las serologías negativas y sus características clínicas, consideramos que se trata de colobomas maculares atípicos
Clinical case: This was a 17-month-old boy who had macular retinochoroidal lesions in both eyes following maternal varicella during pregnancy. Discussion: The scars were suggestive of congenital chorioretinal infection, but because of negative serology and the clinical picture, we believe the problems are atypical macular colobomata
Subject(s)
Male , Female , Child , Adult , Pregnancy , Humans , Chickenpox/diagnosis , Chickenpox/embryology , Chickenpox/transmission , Choroid/abnormalities , Coloboma/diagnosis , Macula Lutea/abnormalities , Pregnancy Complications, Infectious , Antibodies, Viral/blood , Cicatrix/etiology , Diagnosis, Differential , Infectious Disease Transmission, Vertical , Fetal Diseases/diagnosisABSTRACT
CLINICAL CASE: This was a 15-month-old boy who had macular retinochoroidal lesions in both eyes following maternal varicella during pregnancy. DISCUSSION: The scars were suggestive of congenital chorioretinal infection, but because of negative serology and the clinical picture, we believe the problems are atypical macular colobomata.
