■外套病,乔治·科茨在1900年代初描述的,是特发性单侧视网膜血管异常,在年轻男性中发生渗出。其特征是视网膜毛细血管扩张伴视网膜内或视网膜下渗出。科茨病主要在生命的第一个到第二个十年被诊断出来,常见的是白细胞增多症。年轻患者的表现更严重,并且与不良的视觉预后有关。科茨疾病的管理因观察而异,抗VEGF(血管内皮生长因子)冷冻治疗,和手术摘除。治疗方式取决于就诊年龄,疾病的严重程度,和疾病的阶段。通过这个视频,我们描述了临床特征,病理学,并对一名患有3B级Coats病的2岁儿童进行手术治疗。
■为了证明一个2岁男孩的3B级Coats病的成功手术治疗。
■Coats\'疾病由于其表现多样,大多呈现出诊断困境。早期发现和治疗是挽救眼睛和视力的关键,因此,避免可怕的并发症,如新生血管性青光眼或肺结核。我们证明了一名患有3B级Coats病的儿童的手术治疗成功。
■通过这个视频,我们的目的是描述临床特征,病理学,并对一名患有3B级Coats病的2岁儿童进行手术治疗。外引流术与玻璃体切除术相结合,面临的挑战,以及术后视觉康复的重要性。
■https://youtu。是/0obpVTOkKK。
Coats\' disease, described by George Coats in the early 1900s, is an idiopathic unilateral retinal vascular abnormality with exudation occurring in young males. It is characterized by retinal telangiectasia with intraretinal or subretinal exudation. Coats\' disease is mostly diagnosed in the first to the second decade of life, with a common presentation of
leukocoria. Younger patients have a more severe presentation and are associated with poor visual prognosis. Management of Coats\' disease varies from observation, cryotherapy with anti-VEGFs (Vascular Endothelial Growth Factor), and surgery to enucleation. The mode of treatment depends on the age of presentation, the severity of the disease, and the stage of the disease. Through this video, we describe the clinical features, pathology, and surgical management of a 2-year-old child with grade 3B of Coats\' disease.
To demonstrate successful surgical management of grade 3B of Coats\' disease in a 2-year-old boy.
Coats\' disease mostly presents with a diagnostic dilemma due to its varied presentation. Early detection and treatment are the keys to salvaging the eye as well as the vision, hence, avoiding dreadful complications such as neovascular glaucoma or phthisis bulbi. We demonstrate successful surgical management of a child who presented with grade 3B of Coats\' disease.
Through this video, we aim to describe the clinical features, pathology, and surgical management of a 2-year-old child with grade 3B of Coats\' disease. Combination of external drainage with vitrectomy, challenges faced, and the importance of visual rehabilitation postoperatively.
https://youtu.be/0obpVTOkKKs.