Further Inpatient Care
Most ophthalmic care is rendered in an outpatient facility. For the most part, even surgical cases are treated in an ambulatory setting.
Complications
Potential complications include the following:
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Neovascular glaucoma
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Phthisis bulbi
Prognosis
Prognosis depends on the underlying condition.
In a series of 43 patients with Coats disease, 75% of treated patients had an improvement or stabilization of vision from baseline. Only 30% of untreated patients had a stable visual acuity. [21]
The long-term prognosis in optic pits probably is poor because of secondary cystoid macular changes. [22]
Idiopathic central serous chorioretinopathy is not as benign as previously thought. As many as 15% of patients may end up with a visual acuity of 20/200 or worse. [23]
Exudative retinal detachments secondary to preeclampsia or eclampsia usually resolve without sequelae.
In eyes with ocular inflammation, the severity of intraocular inflammation is a predictive factor in the development of an exudative retinal detachment. [3]
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An 8-year-old boy with Coats disease. Notice the macular exudation.
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An 8-year-old boy with Coats disease. Notice the peripheral vascular dilatations. This patient underwent cryotherapy months before, and the exudative retinal detachment has basically disappeared.
