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[Familial exudative vitreoretinopathy simulating Coats disease: case report].
[coats disease]
We
report
the
case
of
a
seven
year
-old
male
patient
,
born
at
term
without
any
perinatal
complications
,
referred
to
the
Retina
/
Vitreous
Service
for
diagnostic
elucidation
.
He
had
a
history
of
progressive
visual
acuity
loss
on
his
left
eye
that
started
four
years
ago
.
On
examination
,
he
had
decreased
corneal
diameter
and
corectopia
of
the
right
eye
(
OD
)
,
without
any
noteworthy
findings
on
the
biomicroscopy
of
the
left
eye
(
OS
)
.
The
fundus
of
the
OD
revealed
total
retinal
detachment
,
and
the
OS
initially
showed
peripheral
retinal
vascular
abnormalities
and
retinal
exudation
,
associated
with
retinal
vitreous
traction
on
the
temporal
sector
.
The
CT
and
MRI
of
the
brain
/
orbits
showed
no
abnormalities
,
except
for
findings
suggestive
of
an
old
retinal
detachment
on
the
OD
,
confirmed
by
ultrasonography
,
which
also
showed
microphthalmia
of
the
OD
.
The
diagnosis
of
familial
exudative
vitreoretinopathy
,
a
rare
disease
of
autosomal
dominant
inheritance
and
related
to
consanguineous
marriages
,
that
can
initially
simulate
Coats
disease
,
was
proposed
.
The
patient
was
treated
with
diode
laser
photocoagulation
in
the
temporal
periphery
of
the
OS
,
with
improvement
in
the
areas
of
vitreoretinal
traction
.
Diseases
Validation
Diseases presenting
"old retinal detachment"
symptom
coats disease
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