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Coats' retinitis or retinoblastoma in a 3-year-old girl: a case report.
[coats disease]
Coats
'
disease
is
an
idiopathic
disorder
defined
by
an
abnormal
development
of
retinal
vessels
with
a
progressive
deposition
of
intraretinal
or
subretinal
exudates
,
leading
to
exudative
retinal
detachment
.
The
most
difficult
task
is
to
differentiate
Coats
'
disease
from
retinoblastoma
.
We
present
a
rare
case
of
Coats
'
disease
diagnosed
in
a
3
-
year
-old
girl
.
From
the
age
of
6
months
,
the
girl
was
followed
up
2
times
a
year
at
the
Department
of
Ophthalmology
,
Hospital
of
Lithuanian
University
of
Health
Sciences
,
due
to
congenital
convergent
strabismus
and
refractive
errors
.
At
the
age
of
3
.
6
years
,
a
routine
examination
of
the
fundus
of
the
right
eye
revealed
hard
exudates
,
telangiectasia
and
tortuosity
,
gray
color
lesion
below
the
optic
nerve
disc
,
submacular
exudation
in
the
inferior
nasal
part
of
the
retina
,
and
exudative
retinal
detachment
,
which
extended
from
the
7
-
o'clock
position
to
the
4
-
o'clock
position
.
Before
this
examination
,
no
abnormalities
were
found
in
the
fundus
of
her
both
eyes
.
The
girl
was
not
treated
with
laser
photocoagulation
,
cryocoagulation
,
or
intravitreal
injections
,
as
the
diagnosis
of
retinoblastoma
could
not
be
excluded
;
therefore
,
only
eye
drops
were
prescribed
.
In
order
to
exclude
the
diagnosis
of
retinoblastoma
,
ultrasonography
,
magnetic
resonance
imaging
,
and
computed
tomography
were
carried
out
,
and
an
appointment
to
see
an
ophthalmic
oncologist
was
scheduled
.
Due
to
early
and
appropriate
treatment
,
the
progression
of
Coats
'
disease
in
patients
could
be
arrested
.
However
,
in
some
cases
,
when
the
diagnosis
is
ambiguous
,
it
is
better
to
follow
up
the
patient
and
to
treat
only
with
eye
drops
.
Diseases
Validation
Diseases presenting
"abnormal development"
symptom
achondroplasia
coats disease
hydrocephalus with stenosis of the aqueduct of sylvius
junctional epidermolysis bullosa
oligodontia
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