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目的观察Coats病的临床治疗效果。方法回顾分析15例患者的临床资料,男14例,女1例,均单眼发病,年龄7~46(平均20.0)岁。依据shields分期标准,1、2期13眼接受视网膜激光治疗;3期2只眼行激光联合巩膜外冷凝治疗。结果随访6~36(平均18)个月。1、2期13只眼,治疗后视力均提高2行以上,FFA检查渗漏停止。联合治疗2只眼视网膜复位,但视力无提高。结论视网膜激光光凝是Coats病有效治疗手段,早期诊断及时治疗对Coats病患者视力恢复至关重要。
Objective To observe the clinical effect of Coats disease. Methods The clinical data of 15 patients were retrospectively analyzed. There were 14 males and 1 females, all with monocular disease, ranging in age from 7 to 46 (average 20.0) years. According to the shields staging criteria, 1,2 eye retinal laser treatment in 13 cases; 3 of 2 eyes underwent laser combined with scleral condensation therapy. Results The follow-up ranged from 6 to 36 (average 18) months. In stage 1 and stage 2, the visual acuity increased by more than 2 lines after treatment, and the leakage of FFA was stopped. Retinal reattachment in 2 eyes with no improvement of visual acuity. Conclusion Retinal laser photocoagulation is an effective treatment for Coats disease, early diagnosis and timely treatment of patients with Coats disease is essential for the recovery of visual acuity.