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Full-Thickness Macular Hole with Coats Disease: A Case Report
Yuto Hashimoto1, Yusuke Arai1, Shinji Makino1
1Department of Ophthalmology, Jichi Medical University, Shimotsuke-shi, Japan.
Case Reports in Ophthalmology
|September 5, 2020
Summary
This case study details a rare occurrence of full-thickness macular hole (FTMH) developing during Coats disease treatment. Vitrectomy successfully closed the FTMH, restoring vision in a Coats disease patient.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Surgical Innovation
Background:
- Coats disease is a rare condition causing abnormal blood vessel development in the retina.
- Full-thickness macular holes (FTMH) are typically associated with retinal trauma or aging, not Coats disease.
Observation:
- A 17-year-old male with stage 2A Coats disease developed worsening vision despite laser photocoagulation and anti-VEGF treatment.
- Progressive retinal changes including internal limiting membrane (ILM) tension, serous macular detachment (SMD), and retinal thinning preceded FTMH development.
Findings:
- A full-thickness macular hole (FTMH) developed in a patient undergoing treatment for Coats disease.
- Pars plana vitrectomy with ILM peeling successfully closed the FTMH, leading to significant visual acuity improvement (20/20) and resolution of SMD.
Implications:
- This case highlights a potential, previously unreported complication of Coats disease management.
- Vitrectomy is an effective treatment for FTMH in the context of Coats disease, offering favorable visual and anatomical outcomes.
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