Pars Plana Vitrectomy for Vitreous Hemorrhage in Coats-Type Retinitis Pigmentosa.

Lee, Ji Hyun; Kim, Tai Kyong; Kim, Su Young; Lee, Young Chun; Lee, Mee Yon

doi:2016.57.4.677

J Korean Ophthalmol Soc > Volume 57(4); 2016 > Article

Case Report

Journal of the Korean Ophthalmological Society 2016;57(4):677-681.
DOI: https://doi.org/10.3341/jkos.2016.57.4.677 Published online April 15, 2016.

Pars Plana Vitrectomy for Vitreous Hemorrhage in Coats-Type Retinitis Pigmentosa.

Ji Hyun Lee, Tai Kyong Kim, Su Young Kim, Young Chun Lee, Mee Yon Lee

Department of Ophthalmology and Visual Science, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea. deenie@daum.net

유리체 절제술로 치료한 코우츠 유사 망막색소변성증에 합병된 유리체 출혈 1예

이지현⋅김태경⋅김수영⋅이영춘⋅이미연

가톨릭대학교 의과대학 의정부성모병원 안과 및 시과학교실

Correspondence: Mee Yon Lee

Received: 15 October 2015 • Revised: 2 February 2016 • Accepted: 6 March 2016

Abstract

PURPOSE
For vitreous hemorrhage induced by coats-types retinitis pigmentosa, we report a case treated with pars plana vitrectomy and endolaser photocoagulation. CASE SUMMARY: A 24-year-old male who was diagnosed with retinitis pigmentosa in both eyes 6 years earlier presented with decreased visual acuity in his left eye for the last 7 months. Corrected visual acuity was measured at 0.06 in the left eye and fundus examination revealed a vitreous hemorrhage in the left eye as well as an exudative lesion in the right eye's peripheral retina, which suggested Coats-type retinitis pigmentosa. The left eye was treated with pars plana vitrectomy. After removal of the vitreous hemorrhage, endolaser photocoagulation was performed around the peripheral exudative lesion that caused the vitreous hemorrhage. One month later, the best-corrected visual acuity increased to 0.20 in the left eye, and there was an improvement in the vitreous hemorrhage and the exudative lesion. CONCLUSIONS: Pars plana vitrectomy and endolaser can be helpful in vitreous hemorrhage induced by coats-type retinitis pigmentosa.

Key Words: Coats disease;Coats-type retinitis pigmentosa;Retinitis pigmentosa;Vitrectomy;Vitreous hemorrhage