Multimodal treatment of Coats-like exudative vitreoretinopathy in Goldmann-Favre syndrome

Autor: Fabiola Ramos Nieves, Victor M. Villegas, Nimesh A. Patel, Audina M. Berrocal, Timothy G. Murray
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: American Journal of Ophthalmology Case Reports, Vol 25, Iss , Pp 101362- (2022)
Druh dokumentu: article
ISSN: 2451-9936
DOI: 10.1016/j.ajoc.2022.101362
Popis: Purpose: To report a Coats-like exudative vitreoretinopathy in Goldmann-Favre syndrome. Observations: A 64 year-old woman with prior diagnosis of retinal dystrophy presented with decreased vision in the right eye (OD). Ophthalmologic examination was remarkable for bilateral arteriolar attenuation, mid-peripheral bony-spicules, and waxy disc pallor. Coats-like exudative vitreoretinopathy and cystoid macular edema were present OD. Genetic testing showed a homozygous pathogenic mutation in gene NR2E3, variant c.932G>A (p.Arg311Gln), consistent with Goldmann-Favre syndrome. Targeted laser ablation and combination intravitreal therapy were effective in decreasing macular edema. Conclusions and Importance: A Coats-like exudative vitreoretinopathy may occur in the setting of Goldmann-Favre syndrome. Targeted laser ablation in combination with intravitreal therapy can be efficacious in select patients.
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