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A Macular Hole in a Female Adult with Bilateral Coats Disease

机译：患有双侧大衣病的成年女性黄斑裂孔

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Purpose: To report a case of a macular hole in a female adult with bilateral Coats disease. Methods: The fundus photograph, fundus fluorescein angiography (FFA) and indocyanine green angiography (ICGA) were performed in two eyes, and observed theirs characters. Results: Fundus photograph showed massive yellowish-white exudation in the temporal midperiphery of both eyes, but the degree was slighter in the right eye. There was 1/3 DD macular hole in left eye. FFA revealed general dilatation of capillaries, multiple aneurysms, and tortuous and closure of vessels in superotemporal midperiphery in both eyes, but the degree was slighter in the right eye. There was a one-third DD round transmitted fluorescence according the macula hole. ICGA revealed that hyperfluorescence of aneurysms in superotemporal midperiphery, the images of aneurysms were more clearly than in FFA. There was a 2/3 DD hypoflurescence of macula in the late phase of angiography. Conclusions: FFA and ICGA have respective advantage in revealing vascular abnormalities of Coats disease. Maybe there was some relationship between the abnormalities of retinal vascular and hypoperfusion of choroidial vascular in macula in this case.
机译：目的：报告一名患有双侧Coats病的女性成年人的黄斑裂孔一例。方法：用两只眼睛进行眼底照相，眼底荧光血管造影（FFA）和吲哚菁绿血管造影（ICGA），观察其特征。结果：眼底照片显示在两只眼的颞中央周围大量黄白色渗出，但右眼的程度较轻。左眼有1/3 DD黄斑裂孔。 FFA显示双眼颞上缘周围毛细血管扩张，多发动脉瘤，血管曲折和闭合，但右眼程度较轻。根据黄斑孔，有三分之一的DD圆透射荧光。 ICGA揭示了颞上中央周围动脉瘤的过度荧光，动脉瘤的图像比FFA更清晰。在血管造影的后期，黄斑有2/3 DD荧光不足。结论：FFA和ICGA在揭示Coats病的血管异常方面具有各自的优势。在这种情况下，视网膜血管异常与黄斑区脉络膜血管灌注不足之间可能存在某种关系。

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