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We report a patient with ocular abnormalities due to Alport syndrome. Considerable improvement of visual acuity was obtained following ocular lens extraction with foldable lens implantation in the right eye to compensate the effect of the lenticonus anterior. The presence of conjunctival telangiectasia is a new clinical finding in a patient with Alport syndrome.
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The authors presented methods and results of treatment by means of an argon laser of 12 patients with pathological changes of the retinal vessels. Diagnosed in these patients were: capillary haemangioma (Hippel-Lindau disease), teleangiectasis and macroaneurysms of the retinal vessels. Photocoagulation by argon laser of these vascular changes in these patients in right time showed to be a favourable therapeutic method, especially when the changes are localized in the posterior pole of the eye.
Coats' disease is an ocular condition characterized by telangiectatic vessels, microaneurysms, and intraretinal and subretinal exudates. This disease entity is usually uniocular, occurs in young males in their first decade of life, and has a prevalence for the temporal retina. A case report of Coats' disease is presented along with a discussion of its management and treatment.
Juxta-foveolar telangiectasias were followed in 10 patients, when only in one patient the same clinical picture has been observed in both eyes. Decrease of the central vision was heavily deteriorated in nearly all patients, with only one exception. In some patients the glucose tolerance has been outside the normal limits, therefore authors suspect some etiologic connections between both diseases.
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Thirteen children evaluated in the Oncology Service of Wills Eye Hospital from 1976 through 1986 were found to have advanced unilateral Coats' disease, producing a total bullous exudative retinal detachment. All 13 eyes were blind. Six children were given no treatment for their retinopathy, and four of the six eventually developed painful neovascular glaucoma, necessitating enucleation of the affected eye. The other seven children underwent intraocular infusion, drainage of subretinal fluid, and cryotherapy on one or more occasions. None of these seven eyes has developed painful neovascular glaucoma, and the affected eye remains cosmetically acceptable in all seven children.
We report a 22-year-old Hispanic man with familial congenital nystagmus, iris transillumination, and pigmentary retinal anomalies with subretinal fatty exudates similar to those seen in Coats' disease. Direct treatment of the telangiectatic vessels with cryotherapy caused a subretinal hemorrhage. We therefore recommend surrounding the area of abnormal vessels (posterior to vessels and between vessels and ora serrata) with cryotherapy to reverse the formation of the vascular anomalies.
A 62-year-old white man presenting with retinal telangiectasia, subretinal exudates, and a circumscribed nonrhegmatogenous retinal detachment secondary to an ischemic superotemporal-branch retinal-vein obstruction is described. Sectorial-scatter argon laser photocoagulation resulted in complete flattening of the retina and a return of visual acuity to 6/12 (20/40). Although lipid exudates and retinal detachment secondary to retinal venous occlusion have previously been reported, our case had the additional finding of marked retinal telangiectasia suggesting adult Coat's disease. This case indicates that a retinal venous occlusion can produce a capillary response simulating the characteristic features of Coat's disease.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.