April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Diode Laser Treatment of Coats Disease in Children
Author Affiliations & Notes
  • Peter A. Karth
    Ophthalmology, Medical College of Wisconsin, Milwaukee, Wisconsin
  • Clement C. Chow
    Ophthalmology, University of Illinois at Chicago, Chicago, Illinois
  • Micheal Shapiro
    Ophthalmology, University of Illinois at Chicago, Chicago, Illinois
  • Micheal Blair
    Ophthalmology, University of Illinois at Chicago, Chicago, Illinois
  • Daniel F. Kiernan
    Ophthalmology, University of Illinois at Chicago, Chicago, Illinois
  • Footnotes
    Commercial Relationships  Peter A. Karth, None; Clement C. Chow, None; Micheal Shapiro, None; Micheal Blair, None; Daniel F. Kiernan, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 6156. doi:
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    • Get Citation

      Peter A. Karth, Clement C. Chow, Micheal Shapiro, Micheal Blair, Daniel F. Kiernan; Diode Laser Treatment of Coats Disease in Children. Invest. Ophthalmol. Vis. Sci. 2011;52(14):6156.

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Abstract 
 
Purpose:
 

To review the effect of green diode laser retinal ablation therapyin patients with advanced Coats disease.

 
Methods:
 

Medical records, Retcam photographs and fluorescein angiogramsof 14 eyes of 13 patients with advanced Coats disease were reviewedas part of this retrospective, interventional case series. Allpatients were initially treated with green diode laser (532nm) ablation therapy to areas of the retinal telangiectasisassociated with exudation.

 
Results:
 

Fourteen eyes of 13 patients with Coats disease were included.Before treatment, 1 eye was at stage 2 (telangiectasis and exudation),12 eyes at stage 3 (exudative retinal detachment), and 1 eyeat stage 4 (total retinal detachment with glaucoma). Five eyeshad highly detached retina of > 4 mm. Median age at diagnosiswas 51 months (range, 0.5 to 153 months). Median follow-up was34.5 months (range, 15 to 70 months). Median number of greendiode laser photocoagulation treatments was 2 (range, 1 to 5).After laser photocoagulation, 13 of 14 eyes (93%) had no activeexudation. Functionally, 4 of 14 eyes (29%) were 20/50 or better,3 of 14 eyes (21%) were 20/60 to 20/200, 4 of 14 eyes (29%)were 20/400 to light perception, and 2 of 14 eyes (14%) wereno light perception. No eyes were phthisical or enucleated.

 
Conclusions:
 

Green diode laser therapy can be an effective treatment foradvanced Coats disease, even in the presence of moderate toseverely elevated retinal detachment.  

 

 
Keywords: retina • clinical (human) or epidemiologic studies: systems/equipment/techniques • laser 
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