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[Coats disease of adult onset]
J Andonegui1, M Aranguren, L Berástegui
1Servicio de Oftalmología, Hospital de Navarra, Pamplona, España. jandonen@cfnavarra.es
Insights
Adult-onset Coats disease, a rare retinal vasculopathy, can occur in older individuals. Early diagnosis and laser photocoagulation are crucial when lipid deposition threatens the fovea.
Area of Science:
- Ophthalmology
- Retinal Vascular Diseases
Background:
- Coats disease typically presents in childhood.
- Adult-onset Coats disease is uncommon but recognized.
Observation:
- A 66-year-old male presented with exudative retinal vasculopathy.
- The condition was diagnosed as adult-onset Coats disease.
Findings:
- Laser photocoagulation was used as the treatment modality.
- Adult-onset Coats disease often follows a more benign clinical course than childhood-onset cases.
Implications:
- Consider Coats disease in adults with retinal vasculopathy and exudative components.
- Prompt treatment is necessary if lipid deposition impacts the fovea to prevent vision loss.
Case Report:
We report a 66-year-old male who exhibited an exudative retinal vasculopathy, diagnosed as Coats disease of adult onset, treated with laser photocoagulation.
Discussion:
Most cases of Coats disease are diagnosed in childhood. When this entity appears in adults it usually exhibits a more benign clinical course. Diagnosis of this condition must be considered in those patients showing a retinal vasculopathy with a marked exudative component. Treatment is indicated if the fovea is threatened by lipid deposition.
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