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A case of coats disease and concurrent anisometropic amblyopia
PURPOSE: The aim of this report was to demonstrate a case of Coats disease in a patient with concurrent anisometropic amblyopia. OBSERVATIONS: A 10-year-old boy was diagnosed with Coats disease during routine ophthalmic examination. Visual acuity was 20/20 OD and 20/50 OS with cycloplegic refraction...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5223778/ https://www.ncbi.nlm.nih.gov/pubmed/28090595 http://dx.doi.org/10.1016/j.ajoc.2016.07.004 |
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author | Lambert, Nathan G. Hoffman, Robert O. Hartnett, M. Elizabeth |
author_facet | Lambert, Nathan G. Hoffman, Robert O. Hartnett, M. Elizabeth |
author_sort | Lambert, Nathan G. |
collection | PubMed |
description | PURPOSE: The aim of this report was to demonstrate a case of Coats disease in a patient with concurrent anisometropic amblyopia. OBSERVATIONS: A 10-year-old boy was diagnosed with Coats disease during routine ophthalmic examination. Visual acuity was 20/20 OD and 20/50 OS with cycloplegic refraction of +1.25 (OD) and +3.25 (OS). Examination under anesthesia showed macular exudates in the left eye that encroached near the fovea superotemporally. Despite the poor visual acuity and macular exudates, the foveal architecture of both eyes appeared normal on spectral domain optical coherence tomography. Because of the differing refractive error between the two eyes in the presence of foveal-sparing exudates, anisometropic amblyopia was suspected. After initial laser therapy, the patient was started on a daily patching regimen of the right eye. The patient's vision steadily improved to 20/25 OS with a final cycloplegic refraction of +1.00 (OD), +3.00 (OS) at 2 years. This report demonstrates the importance of assessing for other common and treatable causes of vision loss in the setting of Coats disease. CONCLUSIONS AND IMPORTANCE: This case demonstrates the importance of detecting and correcting for concurrent amblyopia in pediatric retina conditions that may, on fundus examination alone, appear to have a retinal cause for reduced visual acuity. |
format | Online Article Text |
id | pubmed-5223778 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-52237782017-12-01 A case of coats disease and concurrent anisometropic amblyopia Lambert, Nathan G. Hoffman, Robert O. Hartnett, M. Elizabeth Am J Ophthalmol Case Rep Case report PURPOSE: The aim of this report was to demonstrate a case of Coats disease in a patient with concurrent anisometropic amblyopia. OBSERVATIONS: A 10-year-old boy was diagnosed with Coats disease during routine ophthalmic examination. Visual acuity was 20/20 OD and 20/50 OS with cycloplegic refraction of +1.25 (OD) and +3.25 (OS). Examination under anesthesia showed macular exudates in the left eye that encroached near the fovea superotemporally. Despite the poor visual acuity and macular exudates, the foveal architecture of both eyes appeared normal on spectral domain optical coherence tomography. Because of the differing refractive error between the two eyes in the presence of foveal-sparing exudates, anisometropic amblyopia was suspected. After initial laser therapy, the patient was started on a daily patching regimen of the right eye. The patient's vision steadily improved to 20/25 OS with a final cycloplegic refraction of +1.00 (OD), +3.00 (OS) at 2 years. This report demonstrates the importance of assessing for other common and treatable causes of vision loss in the setting of Coats disease. CONCLUSIONS AND IMPORTANCE: This case demonstrates the importance of detecting and correcting for concurrent amblyopia in pediatric retina conditions that may, on fundus examination alone, appear to have a retinal cause for reduced visual acuity. Elsevier 2016-07-26 /pmc/articles/PMC5223778/ /pubmed/28090595 http://dx.doi.org/10.1016/j.ajoc.2016.07.004 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case report Lambert, Nathan G. Hoffman, Robert O. Hartnett, M. Elizabeth A case of coats disease and concurrent anisometropic amblyopia |
title | A case of coats disease and concurrent anisometropic amblyopia |
title_full | A case of coats disease and concurrent anisometropic amblyopia |
title_fullStr | A case of coats disease and concurrent anisometropic amblyopia |
title_full_unstemmed | A case of coats disease and concurrent anisometropic amblyopia |
title_short | A case of coats disease and concurrent anisometropic amblyopia |
title_sort | case of coats disease and concurrent anisometropic amblyopia |
topic | Case report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5223778/ https://www.ncbi.nlm.nih.gov/pubmed/28090595 http://dx.doi.org/10.1016/j.ajoc.2016.07.004 |
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