%0 Journal Article
%T Management of Coats Disease Microaneurysms With Fundus Fluorescein Angiography
%A David Brown
%A Igor Kozak
%A Jay Chhablani
%A Shaun I. R. Lampen
%J Journal of VitreoRetinal Diseases
%@ 2474-1272
%D 2019
%R 10.1177/2474126418810134
%X The purpose of this case series is to test the safety and efficacy of navigated laser in the treatment of microaneurysms in Coats disease. In a multicenter, retrospective case series, 10 individuals with active, leaking Coats-related microaneurysms in the macula were included. All participants were treated with the Navilas navigated laser (OD-OS, GmbH, Teltow, Germany) in a navigated treatment mode guided by fundus fluorescein angiography with a minimum of 4-month follow-up. Primary outcomes included central retinal thickness, best-corrected visual acuity, and microaneurysm closure rate. Mean age at navigated laser was 38.8 years (range, 14-61 years). Anatomic improvement or stabilization was noted in all participants (¨C10 ¦Ìm), with stability within 10 letters of presenting visual acuity (¡À0.0 logarithm of the minimum angle of resolution [logMAR] [Snellen equivalent, 20/20]). No patient received any additional antivascular endothelial growth factor (anti-VEGF) treatment after the first navigated laser session. Patients could even discontinue previous anti-VEGF treatments. In this study, angiography-guided navigated laser treatment was a safe and effective treatment modality for Coats disease. The digital planning and navigated application of the laser seem to allow for good efficacy and a low complication rate
%K Coats disease
%K fundus fluorescein angiography-guided
%K laser therapy
%U https://journals.sagepub.com/doi/full/10.1177/2474126418810134