评估玻璃体手术结合眼内电凝光凝治疗伴渗出性视网膜脱离的晚期 Coats 病的疗效。方法 :采用玻璃体切割 ,视网膜切开内引流、电凝、光凝及过氟化碳液体应用 ,治疗伴渗出性视网膜脱离 Coats 病 16例 (16只眼 ) ,随访 6～ 2 4个月 (平均 16月 )。结果 :术后视网膜复位率 (15 / 16 ) 93.2 %。 16只眼均保持术前视力 ,眼压控制于正常范围。结论 :本方法对多数晚期 Coats 病有效 ,可以使视网膜复位 ,维持现有视力和控制继发性青光眼 To assess the efficacy of vitrectomy combined with intraocular coagulation and photocoagulation in the treatment of advanced Coats disease with exudative retinal detachment. Methods: 16 cases (16 eyes) with exudative retinal detachment (Coats disease) were treated with vitrectomy, intraretinal drainage, electrocoagulation, photocoagulation and perfluorocarbon liquid. The patients were followed up for 6 to 24 months Average 16 months). Results: The rate of postoperative retinal reattachment (15/16) was 93.2%. 16 eyes maintained preoperative visual acuity, intraocular pressure control in the normal range. Conclusion: This method is effective for the majority of advanced Coats disease, which can make the retina reposition, maintain the existing vision and control secondary glaucoma