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Presumed Advanced Coats Disease with Extensive Exudative Retinal Detachment in a Young Male
Aug 18 2026 by Pablo Angel García-Uribe, MD, PhD
An 18 year-old man presented with chronic visual loss in the left eye. Wide-field fundus imaging revealed extensive intraretinal and subretinal lipid exudation involving the posterior pole and peripheral retina, associated with scattered retinal hemorrhages, peripheral exudative retinal detachment, and areas of abnormal retinal telangiectasia. The advanced exudative changes resulted in severe and longstanding structural retinal damage. Given the atypical and extensive presentation in a young patient, magnetic resonance imaging was performed to exclude an intraocular mass, particularly retinoblastoma. No evidence of an intraocular tumor was identified. The clinical findings were considered consistent with advanced Coats disease. Due to the chronicity and advanced retinal damage with limited visual potential, close observation was indicated.
Photographer: David García-García, Optometrist, Clínica Oftalmológica Salauno, Mexico City
Imaging device: VISUCAM 524(Carl Zeiss Meditec AG, Jena, Germany)
Condition/keywords: COATS, COATS DISEASE, Coats' disease
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