Treatment and Clinical Results of Coats` Disease

ABSTRACT

To evaluate the clinical courses and the results of treatment of Coats`disease, we retrospectively investigated the medical records of 30 patients (27males,3 females). The age at diagnosis, bilaterality, chief complaints, associated abnormalities, retinal distributions of vascular change and exudate, and methods and results of treatment were reviewed. The average age at diagnosis was 4.6 years (range1.0~8.2 years) and all cases were unilateral. Exotropia was the most common presenting signs. Following treatment, 60.0%of eyes were clinically worsened in subretinal fluid drainage/vitrectomy group, 6.7% in laser/cryotherapy group,and 28.6%in no treatment group. These results suggest that laser/cryotherapy may treat effectively the early change in Coats`disease, and making a diagnosis and treatment before the development of bullous retinal detachment may be advisable.