TY - JOUR
T1 - Paradoxical Exudative Retinopathy and Macular Star Formation After Treatment Initiation in Coats Disease
AU - Kalavar, Meghana
AU - Ashkenazy, Noy
AU - Acon Ramirez, Dhariana
AU - Berrocal, Audina
N1 - Publisher Copyright:
© The Author(s) 2022.
PY - 2022/11/1
Y1 - 2022/11/1
N2 - Purpose: This work describes a unique clinical feature in Coats disease. Methods: A retrospective series of 2 cases is reported. Results: Two pediatric patients receiving treatment for Coats disease were included. In both cases, vision worsened secondary to paradoxically increased exudation and macular star formation following standard treatment with intravitreal bevacizumab, sub-Tenon triamcinolone acetonide, and laser photocoagulation. After serial treatments under general anesthesia, the exudates in both cases consolidated. Conclusions: A paradoxical exudative retinopathy can occur in some patients when initiating standard treatment of Coats disease. Longitudinal follow-up with continued intravitreal antivascular endothelial growth factor agents, laser photocoagulation, and corticosteroids might help control persistent exudation in these cases.
AB - Purpose: This work describes a unique clinical feature in Coats disease. Methods: A retrospective series of 2 cases is reported. Results: Two pediatric patients receiving treatment for Coats disease were included. In both cases, vision worsened secondary to paradoxically increased exudation and macular star formation following standard treatment with intravitreal bevacizumab, sub-Tenon triamcinolone acetonide, and laser photocoagulation. After serial treatments under general anesthesia, the exudates in both cases consolidated. Conclusions: A paradoxical exudative retinopathy can occur in some patients when initiating standard treatment of Coats disease. Longitudinal follow-up with continued intravitreal antivascular endothelial growth factor agents, laser photocoagulation, and corticosteroids might help control persistent exudation in these cases.
KW - Coats disease
KW - exudative retinopathy
KW - laser photocoagulation
KW - macular star exudation
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U2 - 10.1177/24741264221075962
DO - 10.1177/24741264221075962
M3 - Article
C2 - 37009530
AN - SCOPUS:85155607292
SN - 2474-1264
VL - 6
SP - 452
EP - 456
JO - Journal of VitreoRetinal Diseases
JF - Journal of VitreoRetinal Diseases
IS - 6
ER -