Mehul R Patel
M & J Institute of Ophthalmology, India
Title: Glowing Bulbs in a Sea of Darkness: A case of Coats’ Disease
Biography
Biography: Mehul R Patel
Abstract
We present a case of an 8 year old male who had severe vision loss in his right eye 2 months prior to examination. Best corrected visual acuities were no perception of light in right eye and 6/9 (without correction) in left eye. Pupil evaluation revealed a dilated pupil in right eye and a normal reactive pupil in left eye. Exotropia was visible on gross clinical observation. Biomicroscopy showed moth eaten iris with anterior capsular changes and posterior sub-capsular opacity in right eye. Dilated fundus examination showed serous retinal detachments in the right eye with dilated veins, telangiectatic vessels, hemorrhages and sub-retinal exudates. The retina of the left eye was normal. Retinoblastoma was ruled out with further diagnostic testing. Coats’ disease is definitively identified based on clinical assessment, ultrasonography and laboratory tests. Because of its preponderance to mimic retinoblastoma, application of these tests can differentiate long standing Coats’ disease from neoplastic growths. Treatment of this disorder is based on the extent of disease at presentation.