Middle East African Journal of Ophthalmology

CASE REPORT
Year
: 2013  |  Volume : 20  |  Issue : 3  |  Page : 256--258

Successful use of intravitreal bevacizumab and pascal laser photocoagulation in the management of adult Coats«SQ» disease


Naz Raoof, Fahd Quhill 
 Department of Ophthalmology, Royal Hallamshire Hospital, Sheffield, United Kingdom

Correspondence Address:
Fahd Quhill
Department of Ophthalmology, Royal Hallamshire Hospital, Glossop Road, Sheffield
United Kingdom

Traditional methods of managing exudative retinal detachment secondary to Coats«SQ» disease have been associated with varying degrees of success. We describe a case of a 34 year-old male who presented with a sub-total exudative retinal detachment of the right eye that encroached upon the macula, associated with a vasoproliferative tumor secondary to Coats«SQ» disease. The patient under-went successful treatment with two intravitreal injections of bevacizumab (Avastin, Genetech Inc., San Francisco, CA, USA) combined with targeted laser photocoagulation with a 532 nm Pascal laser (Topcon Corp., Tokyo, Japan). The visual acuity improved 5 days after the second intravitreal injection from 6/18 to 6/5, with no residual macular edema and complete regression of the vasoproliferative tumor. The improvement in visual acuity was maintained at 12 months post-treatment. We believe this is the first case report describing the successful use of Pascal laser photocoagulation with intravitreal bevacizumab in the treatment of Coats«SQ» disease. Our aim was to defer laser treatment until «SQ»near total«SQ» retinal reattachment and regression of the vasoproliferative tumor was achieved. There are, however, reports of vitreous fibrosis in patients with Coats«SQ» disease treated with intravitreal bevacizumab. This suggests further long-term follow-up studies are required in patients treated with this approach.


How to cite this article:
Raoof N, Quhill F. Successful use of intravitreal bevacizumab and pascal laser photocoagulation in the management of adult Coats' disease.Middle East Afr J Ophthalmol 2013;20:256-258


How to cite this URL:
Raoof N, Quhill F. Successful use of intravitreal bevacizumab and pascal laser photocoagulation in the management of adult Coats' disease. Middle East Afr J Ophthalmol [serial online] 2013 [cited 2021 Dec 6 ];20:256-258
Available from: http://www.meajo.org/article.asp?issn=0974-9233;year=2013;volume=20;issue=3;spage=256;epage=258;aulast=Raoof;type=0