1. [Leber-Coats' disease: A retrospective study of 10 patients].
- Author
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Boucher S, Rodier Bonifas C, Mathis T, Janin-Manificat H, Fleury J, and Burillon C
- Subjects
- Child, Child, Preschool, Combined Modality Therapy, Cryotherapy, Female, Humans, Infant, Laser Coagulation, Male, Optic Atrophy, Hereditary, Leber diagnosis, Optic Atrophy, Hereditary, Leber epidemiology, Optic Atrophy, Hereditary, Leber therapy, Retinal Telangiectasis diagnosis, Retinal Telangiectasis epidemiology, Retinal Telangiectasis therapy, Retrospective Studies, Visual Acuity, Optic Atrophy, Hereditary, Leber complications, Retinal Telangiectasis complications
- Abstract
Introduction: Retrospective study analyzing clinical characteristics and treatment of children affected by Leber-Coats' disease., Method: Children with Leber-Coats' disease seen in Edouard-Herriot Hospital, Lyon, between January 2004 and September 2013 were included. The following clinical characteristics were reported: sex, age at diagnosis, presenting symptom, Shields' stage, treatment used, and visual outcomes., Results: Ten children were included in our study. Mean age at diagnosis was 5.5 years. The disease was unilateral in 9/10 cases. The presenting symptom was loss of vision in 7/10 cases, strabismus in 3/10 cases, and microphthalmos in 1 case. The diagnosis was made fortuitously during a follow-up of familial congenital cataract in 2 patients. No cases of leukocoria were seen. Shields' stages were distributed as follows: stage 1, 2A and 2B: 1 case each, stage 3A1: 7 cases, stage>3A1: no cases. Laser photocoagulation was used up to stage 2B, combined with cryotherapy in stage 3A. Stage 1 and 2A were associated with relatively good final visual acuity. Significant macular lipid exudate (stage>2A) was associated with a worse prognosis., Conclusion: These epidemiological data help us to better characterize these patients' prognosis. Early diagnosis seems to improve visual outcomes., (Copyright © 2016 Elsevier Masson SAS. All rights reserved.)
- Published
- 2016
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