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CR GR - Retina - Gi Re Coats Disease With Exudative Retinal Detachment

The case report presents a 24-year-old female patient, Mrs. DS, who has been experiencing progressively worsening blurred vision in her right eye over three years, leading to a diagnosis of Coats Disease with Exudative Retinal Detachment. The treatment plan includes three consecutive intravitreal injections of Bevacizumab, with follow-up evaluations scheduled after the third injection. Prognosis varies between the right and left eye, with the right eye showing uncertain outcomes while the left eye has a favorable prognosis.

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fergiawan
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16 views14 pages

CR GR - Retina - Gi Re Coats Disease With Exudative Retinal Detachment

The case report presents a 24-year-old female patient, Mrs. DS, who has been experiencing progressively worsening blurred vision in her right eye over three years, leading to a diagnosis of Coats Disease with Exudative Retinal Detachment. The treatment plan includes three consecutive intravitreal injections of Bevacizumab, with follow-up evaluations scheduled after the third injection. Prognosis varies between the right and left eye, with the right eye showing uncertain outcomes while the left eye has a favorable prognosis.

Uploaded by

fergiawan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Case Report

Vitreo-Retina Subdivision
Presenter: Fergiawan Indra Prabowo

Supervisor: dr. Muh. Bayu Sasongko, M.Epid.,


Ph.D., Sp.M
Patients’s Identity

• Name : Mrs. DS
• Age : 24 years Old
• Address : Dadirejo, Cawas
• MR : 01874339
• Day of visit : July 17th 2023
Chief Complaint
Blurred Vision on the Right Eye
History of Present Illness
3 Years BDOV
• Patient had blurred vision on the right eye slowly.
• Pain (-) Redness (-) Floaters (-) Light flashes (-)
• Patients never complain of lost vision suddenly before.
• Patient referred to Retina Subdivison in Sardjito Hospital for examination and management

6 Months DOV
• Patient just realized her blurred vision was getting worse.
• No pain or redness
• Floaters (-) Light flashes (-) Headache (-)
• He referred to District Hospital to renew the spectacles.

DOV
• Patient just realized her blurred vision was getting worse than 6 months ago.
• No pain or redness
• Floaters (-) Light flashes (-) Headache (-)
• He refers to Retina subdivision in Sardjito hospital from District Hospital
Other Related Illness

Systemic Previous
Spectacles Family Illness Trauma Eye Infection
Illnes Surgery
• There is no • Junior High • There is no • There is no • There is no • Panretinal
history School history history history Photocoag
ulation
laser 2x (RE
at 2020)
• Intravitreal
Bevacizum
ab 0.05cc
2x (RE 2x
2020)
Physical Examination
• General Condition : Good
• Conciousness : Alert
• Vital Sign :
• Blood Pressure : 110/65 mmHg
• Heart Rate : 90 bpm
• Respiratory Rate : 20 bpm
• Temperature : 36,6oC
Ophthalmological status - RE
HM G/G VISUAL ACUITY
Within normal limit EYE LID
Within normal limit CONJUNCTIVA
Clear CORNEA
Deep, Clear ANTERIOR CHAMBER

Round, Central, d 8mm, light reflex +decrease/+decrease IRIS/PUPIL


on tropicamid

Clear LENS

Clear VITREOUS BODY

distinct margin, CD ratio 0.3 ONH


Reflex (+) decrease MACULA

A/V 2/3, exudate (+), detached inferior and temporal RETINA


region (+)
15 IOP
Free OM
Ophthalmological status - LE
4/60 PH 6/12 VISUAL ACUITY
Within normal limit EYE LID
Within normal limit CONJUNCTIVA
Clear CORNEA
Deep, Clear ANTERIOR CHAMBER

Round, Central, d 8mm, light reflex +decrease/+decrease IRIS/PUPIL


on Tropicamide

Clear LENS

Clear VITREOUS BODY

distinct margin, CD ratio 0.3 ONH


Reflex(+) MACULA

A/V 2/3 RETINA

18 IOP
Free OM
ANCIILLARY TEST: FUNDUS
PHOTOGRAPHY
ANCILLARY TEST: MACULAR
OCT
Diagnosis
RE COATS Disease with Exudative Retinal
Detachment
Treatment
Intravitreal Injection Bevacizumab 0.05cc (1.25mg) 3 times
consecutive every month
Visual and retinal evaluation 1 month after the 3rd injection
Prognosis
• RIGHT EYE
• Ad Visam : Dubia ad Malam
• Ad Sanam : Dubia ad Malam
• Ad Cosmeticam : Bonam
• Ad Vitam : Dubia ad Malam

• LEFT EYE
• Ad Visam : Bonam
• Ad Sanam : Banam
• Ad Cosmeticam : Bonam
• Ad Vitam : Bonam
Thank you
Advices and suggestions are very welcome

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