File number: 74691


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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
    Optical coherence tomography system
    Optical Coherence Tomography system OCT CIRRUS 5000, Line Protocol, HD 21 line. Cirrus 5000 does not do a wide-angle tomographic image. This assembly was done manually with the junction of 11 lanes of 9mm each.
    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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