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Case Reports
. 2017 Nov;65(11):1246-1248.
doi: 10.4103/ijo.IJO_546_17.

Vitrectomy for full-thickness macular hole in adult-onset Coats' disease

Vinod Kumar  1 , Pradeep Kumar  1 , Gaurav Garg  1 , Saurabh Damodaran  1
Affiliations
Case Reports

Vitrectomy for full-thickness macular hole in adult-onset Coats' disease

Vinod Kumar et al. Indian J Ophthalmol. 2017 Nov.

Abstract

The occurrence of full thickness macular hole in Coats' disease is extremely rare. The purpose of this case report is to report pars plana vitrectomy for the treatment of full thickness macular hole in a patient with adult onset Coats disease. A young male presented with decreased vision in his right eye because of full thickness macular hole. The macular hole was found to be associated with adult onset Coats' disease that was evident on ultra-wide field imaging. The patient underwent laser photocoagulation to the vascular telangiectasia followed by pars plana vitrectomy, large internal limiting membrane peeling and gas tamponade. This resulted in regression of exudation, closure of macular hole and improvement in vision. Coats disease of adult onset can present with decreased vision because of full thickness macular hole. Vitrectomy with internal limiting membrane peeling can result in excellent visual outcome.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Color fundus picture of the right eye showing full-thickness macular hole with epiretinal membrane. (b) Inferotemporal fundus showed subretinal exudation with overlying retinal telangiectasia. (c) Swept-source optical coherence tomography through fovea depicting full-thickness macular hole with the presence of epiretinal membrane. (d) Ultra-wide field color photograph could document full-thickness macular hole along with inferotemporal exudation and telangiectasia. (e) Ultra-wide field fluorescein angiogram revealed central window defect due to hole (arrow), peripheral vascular leakage (arrowheads), and retinal telangiectasia inferotemporally. (f) Inferior steered fundus fluorescein angiography showed light bulb dilatations characteristic of Coats’ disease
Figure 2
Figure 2
(a) Color fundus photograph at 2 weeks after vitrectomy showing apposition of macular hole edges. (b) Swept-source optical coherence tomography through fovea showed Type 1 macular hole closure
See this image and copyright information in PMC

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