망막 낭포가 동반된 코우츠병 환아 1예
A Case of Coats’ Disease Accompanying A Retinal Macrocyst
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목적: 낭포성 망막 병변이 동반된 코우츠병 환아에서 레이저광응고술을 시행한 경우를 경험하였기에 이를 보고하는 바이다. 증례요약: 좌안 시력 저하를 주소로 내원한 3세 남아 환아에서 좌안 하측에 망막 낭포 및 황반부의 반흔성 변화와 노란색의 삼출물이발견되었다. 초진 약 2개월 후 전신마취하 안저검사 및 망막혈관 조영검사를 시행하였다. 당시 하측 망막의 낭포 및 낭포 주변과 비측망막으로 망막실핏줄확장증과 비측 망막의 무혈관 부위가 관찰되었다. 망막 낭포 주변 및 비측 망막의 무혈관 부위에 레이저광응고술을 시행하였으며, 레이저광응고술 시행 1년 후 망막의 병변이 진행하지 않고 안정적인 망막 소견이 관찰되었다. 결론: 낭포성 망막 병변이 동반된 코우츠병 환아에서 망막 낭포 주변과 무혈관 망막 부위에 레이저광응고술을 시행하였으며, 이후별다른 병변의 악화는 관찰되지 않았다.
Abstract
Purpose: To report a case of laser photocoagulation treatment for the patient of Coats’ disease accompanying a retinal macrocyst. Case summary: A three-year-old boy visited the hospital whose chief complaint was visual acuity decrease of his left eye. Fundus examination showed macular scar, foveal hard exudates and inferior retinal cystic lesion in his left eye. Two months later,examination under anesthesia (EUA) and fluorescein angiography (FAG) was performed. The results revealed inferior retinal macrocyst, nasal avascular retina and telangiectasia around the retinal macrocyst. Laser photocoagulation was performed around the retinal macrocyst and at the nasal avascular retina. One year after the laser photocoagulation, retinal macrocyst did not further progress and the retina was stabilized. Conclusions: Laser photocoagulation was done around the retinal macrocyst and at the nasal avascular retina of the Coats’disease accompanying a retinal macrocyst and the lesions did not further progress and the retina was stabilized.
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