Coats病16例疗效观察

Coats＇ disease：A Report of 16 Cases

目的探讨Coats病的治疗方法。方法对Coats病患者16例16只眼，按照Schieds分期的不同，而分别采取激光、冷凝或玻璃体手术治疗。结果2期患者2例2只眼经视网膜光凝治愈；3期或4期患者11例11只眼行玻璃体手术，8例视网膜复位；3期患者3例3只眼行冷凝联合激光术，视网膜均复位。结论Coats病的治疗需个体化方案。对视功能严重受损的Coats病患者，行玻璃体手术可使视网膜复位，促进渗出性病变退缩，保持有限的视功能，避免并发症的发生；视网膜冷凝术对于Coats病的治疗仍有一定意义。

Objective To investigate the treatment of Coats＇ disease, Methods Sixteen patients with Coats＇ disease were selected by Schieds stages, treated with photocoagulation, scleral cryotherapy or vitrecto- my. Results Two patients （stage two） with photocoagulation was cured. Eleven patients （stage three or four） were treated by vitrectomy and eight patient＇s retina had been reattached. Three patients （stage three） undergone scleral cryotherapy and photocoagulation, the retina had been reattached. Conclusions The treat- ment of Coats＇ disease depends on different methods for different patients. Vitrectomy is an ideal therapy for severe Coats＇ disease. It can preserve the limited vision and prevent the complication such as rubeosis iridis, glaucoma, and phthisis bulbi.