A searchable database of
medically documented cases

About the Project

Spontaneous Regression Of Retinal Lesions In Coats’ Disease

Deutsch et al., 1982Other/Unknown

Canadian Journal of Ophthalmology 17(4): Aug 1982; 169-172

View Original Source →

Abstract

Coats’ disease is characterized by vascular anomalies in the retina that are usually associated with exudates. In the absence of treatment the disease almost always progresses toward loss of vision and, often, loss of the eye. This report describes three patients in whom some of the retinal lesions apparently regressed spontaneously; only two other such patients are mentioned in the literature. These patients may have had a form of Coats’ disease that has a better prognosis than usual for the eye.

Case Details

Personal Characteristics

A healthy 58-year-old man

Clinical Characteristics

Suddenly and painlessly lost the central vision in his right eye, moderate cellular infiltrate in the vitreous, extensive hard lipid exudates in the macular region, large capillary aneurysms, hemorrhage and scarred areas

Remission Characteristics

Absence of lipid and vascular changes in the scarred areas

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Additional Notes

The patient had always had poorer vision in his right eye. He did not know if any members of his family had eye disease. The best corrected visual acuity was 20/ 300 on the right side and 20/25-2 on the left. All abnormalities detected by ocular examination were in the right eye.