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A combination of intravitreal bevacizumab injection with tunable argon yellow laser photocoagulation as a treatment for adult-onset Coats' disease.
[coats disease]
The
purpose
of
this
study
was
to
investigate
the
effectiveness
of
intravitreal
bevacizumab
injections
combined
with
tunable
argon
yellow
laser
photocoagulation
as
a
treatment
for
adult-onset
Coats
'
disease
.
We
consecutively
treated
3
patients
suffering
from
Coats
'
disease
diagnosed
in
adulthood
with
a
combination
of
intravitreal
bevacizumab
injection
and
tunable
argon
yellow
laser
photocoagulation
.
All
patients
received
an
intravitreal
injection
of
2
.
5
mg
bevacizumab
together
with
various
sessions
of
laser
photocoagulation
targeting
the
area
of
telangiectasia
.
The
patients
'
best-corrected
visual
acuities
were
recorded
.
Fundus
photography
,
fluorescein
angiography
(
FA
)
,
and
optical
coherence
tomography
were
used
to
monitor
vascular
and
retinal
exudate
changes
.
Fundus
photography
and
FA
of
all
3
patients
revealed
significant
regression
of
the
vascular
dilatation
and
the
aneurysmal
appearance
of
the
telangiectasia
areas
.
Optical
coherence
tomography
also
showed
a
significant
subsidence
of
the
macular
edema
and
submacular
fluid
in
all
patients
.
A
concomitant
improvement
in
visual
acuity
was
also
noted
.
No
treatment-related
complications
were
identified
.
Combining
intravitreal
bevacizumab
and
tunable
argon
yellow
laser
photocoagulation
is
an
efficient
treatment
of
choice
for
Coats
'
disease
that
has
been
diagnosed
in
adulthood
.
Diseases
Validation
Diseases presenting
"visual acuity"
symptom
achondroplasia
acute rheumatic fever
aniridia
coats disease
cohen syndrome
congenital toxoplasmosis
homocystinuria without methylmalonic aciduria
lamellar ichthyosis
oculocutaneous albinism
typhoid
von hippel-lindau disease
zellweger syndrome
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