Pars plana vitrectomy in advanced coats' disease.

[coats disease]

To report 5 cases of advanced Coats ' disease managed with pars plana vitrectomy and silicone oil tamponade .Five patients with advanced Coats ' disease and serous or tractional retinal detachment underwent pars plana vitrectomy with internal drainage , endolaser photocoagulation and silicone oil tamponade . One patient had combined phacoemulsification-vitrectomy surgery . Of the 5 patients , 1 had intravitreal hemorrhage and a retinal macrocyst and 1 had a retinal cyst . Follow-up period was 1 -6 years .All patients had improved visual acuity after surgery . No intraoperative or postoperative complications were observed in any of the patients . The retina was attached and the disease was stable in all patients during follow-up . Two patients had cataract formation , and in one of them the cataract was successfully managed with phacoemulsification surgery .Pars plana vitrectomy , subretinal fluid drainage , and long -term silicone oil tamponade are effective methods in the management of advanced Coats ' disease . Early and prompt management can prevent visual loss and secondary complications .