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International Ophthalmology

, Volume 39, Issue 4, pp 957–970 | Cite as

Recent advances in the diagnosis and treatment of Coats’ disease

  • Xinyue Yang
  • Chenguang Wang
  • Guanfang SuEmail author
Review
  • 103 Downloads

Abstract

Purpose

To review and summarize the recent progress in the diagnosis and treatment of Coats’ disease.

Methods

Literature was collected from Web of Science, Medline and Pubmed, through searching of these keywords: “Coats’ disease”, “diagnosis” and “treatment”.

Results

Coats’ disease is characterized by idiopathic leaky retinal vascular telangiectasia and microvascular abnormalities often accompanied by intraretinal or subretinal exudation and retinal detachment. Neovascular glaucoma and phthisis bulbi often occur in advanced cases. Coats’ disease has significant diversity in terms of its clinical presentation and morphology. Anti-VEGF therapy combined with laser photocoagulation for early Coats’ disease and anti-VEGF therapy combined with minimally invasive vitrectomy for advanced Coats’ disease can achieve good efficacy.

Conclusion

Early diagnosis and timely treatment based on clinical stage are critical to retaining the patient’s visual function. Patients should be aware that close long-term follow-up is necessary.

Keywords

Coats’ disease Diagnosis Treatment VEGF 

Notes

Acknowledgements

This work was supported by all members of the Central Laboratory of the Second Hospital at Jilin University. The authors alone are responsible for the content and writing of the paper.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants performed by any of the authors.

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© Springer Nature B.V. 2019

Authors and Affiliations

  1. 1.Department of OphthalmologyThe Second Hospital of Jilin UniversityChangchunChina

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