ACTIVE EXTERNAL DRAINAGE OF SUBRETINAL FLUID WITHOUT VITRECTOMY TO TREAT ADVANCED COATS DISEASE WITH EXUDATIVE RETINAL DETACHMENT-A CASE REPORT AND LITERATURE REVIEW.

PURPOSE: The purpose of this study was to illustrate the successful management of advanced Coats disease with exudative retinal detachment with posterior lens touch in a 3-year-old young boy using the subretinal drainage technique using an extrusion cannula.

METHODS

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

RESULTS

The retina achieved near-complete reattachment on the first postoperative day and maintained stability during the 6-month follow-up period.

CONCLUSION

Active extrusion cannula-based subretinal drainage technique might be helpful to achieve quicker reattachment of the retina in advanced Coats disease with massive exudative retinal detachment.