Active External Drainage of Subretinal Fluid without Vitrectomy to Treat Advanced Coats Disease with Exudative Retinal Detachment - A Case Report and Literature Review.

Abstract

Purpose: To illustrate the successful management of advanced coats disease with exudative retinal detachment with posterior lens touch in a three year old young boy using subretinal drainage technique using an extrusion cannula.

Methods: Under general anesthesia, external drainage of subretinal fluid (SRF) was performed using an active extrusion cannula. Concurrent cryotherapy and endolaser treatment were administered, with cytological analysis of SRF to exclude retinoblastoma.

Results: The retina achieved near-complete reattachment on the first postoperative day and maintained stability during the six-month follow-up period.

Conclusion: Active extrusion cannula-based sub retinal drainage technique might be helpful to achieve quicker reattachment of retina in advanced coats disease with massive exudative retinal detachment.