Difficulties in Excluding the Diagnosis of Retinoblastoma in Cases of Advanced Coats' Disease: A Clinicopathologic Report
Scott M. Steidl, Tatsuo Hirose, D. N. Sang, Elizabeth Hartnett
Abstract
Scott M. Steidl, Tatsuo Hirose, D. N. Sang, Elizabeth Hartnett
Abstract
We highlight the difficulty in differentiating Coats' disease from retinoblastoma. Two patients with bullous exudative retinal detachment and abnormal vessels are discussed. Histologic evaluation of the 5-year-old patient revealed retinoblastoma. The 1-year-old patient had Coats' disease by histologic identification. With this in mind, we suggest enucleation of such eyes if diagnostic uncertainty exists, since failure to treat retinoblastoma is a more serious error than enucleation of an eye with minimal function.
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We highlight the difficulty in differentiating Coats' disease from retinoblastoma. Two patients with bullous exudative retinal detachment and abnormal vessels are discussed. Histologic evaluation of the 5-year-old patient revealed retinoblastoma. The 1-year-old patient had Coats' disease by histologic identification. With this in mind, we suggest enucleation of such eyes if diagnostic uncertainty exists, since failure to treat retinoblastoma is a more serious error than enucleation of an eye with minimal function.
Key concepts: Retinoblastoma, Enucleation, Coats' disease, Medicine, Disease, Eye disease, Retinopathy, Eye Enucleation