File number: 74689


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    Image of the week
    Oct 31, 2021
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    Appears in
    retinoschisis, Coats' disease
    JEFFERSON R SOUSA - Study Center and Ophthalmological Research Dr. Andre M V Gomes, Institute Dr. Suel Abujamra São Paulo-Brazil
    Imaging device
    Fundus camera
    Topcon TRC-50 DX, Imaginet 4.0, angle de 50 graus. Flash 50w-s
    A 14-year-old male patient was admitted for visual evaluation. Visual acuity s/c in the right eye and 20/80 in the left eye. According to family members, he reported low vision since childhood. He had already undergone treatment with photocoagulation in another service to which he had a diagnostic hypothesis of Coats' disease. Laboratory tests were requested (HIV, TOXO, TOXOCARIASIS, ECA, VDRL, PPD). In the evaluation it was observed important exudation in the posterior pole, some vascular irregularities in the right eye. In the left eye, there is retinoschisis affecting the entire posterior pole and the region nasal to the optic disc, macula with a characteristic aspect of a cartwheel. Well exemplified by OCT-A (Structrure Deep: IPL - 25, OPL - 25).

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