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eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
Bieżący numer Archiwum Filmy Artykuły w druku O czasopiśmie Suplementy Rada naukowa Bazy indeksacyjne Prenumerata Kontakt Zasady publikacji prac Standardy etyczne i procedury
4/2020
vol. 122
 
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Rola angiografii obwodu siatkówki w diagnostyce choroby Coatsa typu dorosłych na podstawie opisu przypadku

Monika Turczyńska
1
,
Joanna Brydak-Godowska
1

1.
Department of Ophthalmology, Infant Jesus Clinical Hospital, University Clinical Center, Medical University of Warsaw, Warsaw, Poland
KLINIKA OCZNA 2020, 122, 4: 171–176
Data publikacji online: 2020/12/17
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The paper presents a case of a 58-year-old woman with hypertension, who suffered unilateral visual loss due to vitreous hemorrhage in the right eye. Clinical examination, fluorescein and indocyanine green angiography and ultrasonography were performed.

Following vitreous hemorrhage resorption, fundoscopy showed atypical retinal vessels located temporally to the macula. Fluorescein and indocyanine green angiograms confirmed atypical vessels in the peripheral retina.

Diagnosis of adult onset Coats’ disease was made for the atypical lesions and treatment with retinal laser photocoagulation was administered to prevent further hemorrhage.

Coats’ disease, most commonly seen in male children, is rarely diagnosed in the adult female population. In adults, the course of the disease tends to be less severe than in children. When investigating the cause of vitreous hemorrhage, we have to take pathological neovascularization typical for Coat’s disease into consideration as a differential diagnosis. Fundoscopy of the peripheral retina is an examination that can aid in diagnosis after absorption of vitreous hemorrhage. Wide-field angiography confirms the diagnosis, enables precise localization of pathological vessels and their activity, and helps determine treatment effectiveness.
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