Nhận xét đặc điểm lâm sàng của bệnh COATS

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Tác giả: Vichhay Chhom, Quốc Tùng Mai, Trọng Văn Phạm, Văn Kết Trần

Ngôn ngữ: Vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam) 2023

Mô tả vật lý: 185-188

Bộ sưu tập: Metadata

ID: 407763

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Chủ đề

Mô tả đặc điểm lâm sàng và cận lâm sàng của bệnh Coats. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang hồi cứu trên 32 mắt của 31 bệnh nhân được chẩn đoán bệnh Coats tại bệnh viện Lão khoa trung ương từ tháng 9/2017 đến tháng 9/2022. Tất cả các bệnh nhân trong nghiên cứu đều được thu thập số liệu về lâm sàng và cận lâm sàng bao gồm chụp ảnh màu đáy mắt, chụp mạch huỳnh quang, chụp cắt lớp võng mạc qua hồ sơ bệnh án, và sổ khám bệnh. Kết quả: Đa số bệnh nhân ở độ tuổi từ 4 đến 20 tuổi chiếm tỷ lệ 62,5%
nam chiếm tỷ lệ nhiều hơn nữ với 78,1%. Đa số bệnh nhân bị một mắt bệnh Coats. Tất cả bệnh nhân đều có triệu chứng nhìn mờ, giảm thị lực. Có 11 mắt có ánh đồng tử trắng chiếm 34,4%. Tất cả bệnh nhân có xuất tiết cứng dưới võng mạc, giãn mạch, phình mạch võng mạc, phù hoàng điểm. Trên ảnh chụp mạch huỳnh quang, 100% mắt có giãn mạch, phình mạch, thiếu máu võng mạc. Trên chụp OCT 100% mắt có xuất tiết cứng dưới võng mạc, phù hoàng điểm và 6,7% mắt có bong võng mạc. Kết luận: Bệnh Coats có nhiều triệu chứng trong đó chủ yếu là giảm thị lực, ánh đồng tử trắng, xuất tiết cứng dưới võng mạc, giãn mạch, phình mạch, phù hoàng điểm , Tóm tắt tiếng anh, Describe clinical and paraclinical features of Coats disease. Materials and Methods: A cross-sectional retrospective study on 32 eyes of 31 patients diagnosed with Coats disease at National Geriatric Hospital. Patients in the study had a clinical examination, fundus fluorescein Angiography, and optical coherence tomography. All patients in the study were collected clinical and subclinical data through medical records and retinal images. Results: The majority of patients from 4 to 20 years old accounted for 62,5%
Males account for more than females with 78.1%. Most patients had Coats disease in one eye and decreased visual acuity. There are 11 eyes with leukocoria, accounting for 34.4%. All patients had subretinal exudation, telangiectasia, light bulb aneurysms, and macular edema. On fundus angiography, 100% of eyes have telangiectasia, light bulb aneurysms, and retinal non-perfusion areas. On OCT scan. 100% of eyes have subretinal exudation and macular edema, and 6,7% have a retinal detachment. Conclusions: Coats disease has many symptoms, mainly decreased visual acuity, leukocoria, subretinal exudation, telangiectasia, light bulb aneurysms, and macular edema.

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