All That Glows Yellow Isn’t Mellow: Coats' Disease Unveiled

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File number: 133802


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    Appears in
    Paediatric Retinal Diseases
    Condition/keywords
    COATS DISEASE, subretinal exudates, exudative detachment, yellow exudate, leukocoria, Xanthocoria
    Photographer
    Dr. Shraddha Raj Shrivastava
    Imaging device
    Scanning laser ophthalmoscope
    Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)
    Description
    Montage fundus image of an 11 year old boy diagnosed with left eye Coats' disease (stage 3A1), reveals a hyperemic disc and surrounding intra-retinal exudates superior to the disc. There is a single fibroglial nodule at the macula causing submacular fibrosis with exudation. We can see areas of pigmentary changes and RPE atrophy in posterior pole and mid-peripheral retina supero-temporally. There is massive yellowish subretinal exudation in all the quadrants, which are associated with telangiectatic aneurysmal capillary dilation, more prominently seen in the nasal periphery. Supero-nasally we can also see an orange-red elevated vaso-proliferative mass with overlying dilated capillaries, which has likely developed secondary to untreated long standing disease. We can also see associated extrafoveal subtotal exudative retinal detachment in the inferior and nasal quadrants.

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