How Coats s Disease Is An Idiopathic Condition...

Introduction Coats’ disease is an idiopathic condition characterized by retinal vascular telangiectasia and exudative retinopathy mostly affective young males unilaterally (1). The spectrum of Coats’ disease manifests from mild to severe visual disturbance. An unusual presentation is with a macular hole and only few case reports of this rare association exist (2)(3)(4)(5). In addition surgical treatment of macular hole associated with Coats’ disease has only been described once by Wong et al in 2012 (5). We are reporting a unique case, of macular hole in adult onset Coats’ disease (6)(7), which was successfully managed with pars plana vitrectomy(PPV) and microscope integrated Optical Coherence Tomography (MI-OCT) assisted internal limiting membrane (ILM) peeling to ensure hole closure. Though Wong et al reported on closure of macular hole, they reported delayed hole closure and poor results with conventional management. This case report highlights a better approach to achieve early macular hole closure with better functional outcome in patients of Coats disease. Case Report A 37 year old man presented with insidious onset painless progressive diminution of vision in his right eye of 05 months duration. There was no associated history of prior ocular disease, ocular trauma or any systemic illness. His decimal best corrected visual acuity (BCVA) was 0.05 OD and 1.0 OS. On retinoscopy simple hypermetropia of +1.25 DS OD and +1.50 DS OS was noted. Anterior segment examinationShow MoreRelatedSocm Study Guide Essay30404 Words   |  122 Pagesway in the body. Define Anatomy and physiology, and describe the various specialties within each discipline Anatomy – the study of internal and external structures and the physical relationship between body parts. Physiology – the study of how living organisms p0erform the vital functions. Microscopic Anatomy – study of structures that can not be seen by the naked eye. Cytology – analyzes the internal structure of individual cells. Histology – the study of tissues Gross Anatomy