[Familial exudative vitreoretinopathy simulating Coats disease: case report].

Abstract:

:We report the case of a seven year-old male patient, born at term without any perinatal complications, referred to the Retina/Vitreous Service for diagnostic elucidation. He had a history of progressive visual acuity loss on his left eye that started four years ago. On examination, he had decreased corneal diameter and corectopia of the right eye (OD), without any noteworthy findings on the biomicroscopy of the left eye (OS). The fundus of the OD revealed total retinal detachment, and the OS initially showed peripheral retinal vascular abnormalities and retinal exudation, associated with retinal vitreous traction on the temporal sector. The CT and MRI of the brain/orbits showed no abnormalities, except for findings suggestive of an old retinal detachment on the OD, confirmed by ultrasonography, which also showed microphthalmia of the OD. The diagnosis of familial exudative vitreoretinopathy, a rare disease of autosomal dominant inheritance and related to consanguineous marriages, that can initially simulate Coats disease, was proposed. The patient was treated with diode laser photocoagulation in the temporal periphery of the OS, with improvement in the areas of vitreoretinal traction.

journal_name

Arq Bras Oftalmol

authors

Lavezzo MM,Barreira AK Jr,Zacharias LC,Takahashi WY

doi

10.1590/s0004-27492011000400014

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

292-5

issue

4

eissn

0004-2749

issn

1678-2925

pii

S0004-27492011000400014

journal_volume

74

pub_type

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