ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ BAN ĐẦU BỆNH COATS TẠI BỆNH VIỆN MẮT TRUNG ƯƠNG

Abstract

Objects: To evaluate the initial treatment outcomes of Coats disease at the Vietnam National Eye Hospital. Subjects and Methods: This is a retrospective case series from a single center of children diagnosed with Coat’s disese at Vietnam National Eye Hospital. Patients were followed up for at least 6 months post-treatment. Treatment outcomes were assessed based on retinal condition and visual acuity after treatment. Results: From September 2022 to September 2024, a total of 31 eyes from 30 patients (29 males and 1 female) were diagnosed with Coats disease. The mean age of the patients was 8.53 ± 5.36 years. Stage 2B was the most common, with 10 eyes, while Stage 2A was the least common, with 1 eye. The primary treatment modality was photocoagulation for early stages and cryotherapy for advanced stages. Intravitreal anti-VEGF injections were used as adjunctive therapy in 17 eyes. The mean follow-up duration was 17 months. After treatment, 28 eyes (90.3%) achieved retinal reattachment. However, 7 eyes still exhibited vitreoretinal proliferation. Visual acuity (Snellen) improved in 11 eyes, remained stable in 16 eyes, and decreased in 4 eyes. Eyes treated at earlier stages and patients over 10 years old showed a statistically significant higher rate of visual acuity improvement compared to eyes at later stages and patients under 10 years old. Conclusion: Initial treatment outcomes for Coats disease at the Vietnam National Eye Hospital demonstrated anatomical success, preserving the globe for patients. Visual acuity improvement was observed in patients treated at earlier stages.