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Arch Ophthalmol. 2004;122:1710-1712.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We report a case of Coats disease in a 9-year-old boy who had a profound visual deficit and increasing pain in his right eye. Funduscopic examination revealed a complex, exudative retinal detachment with a subretinal mass and peripheral retinal telangiectasis. B-scan ultrasonography revealed a heterogeneously echogenic subretinal mass with several highly reflective foci consistent with calcification. Enucleation was performed and confirmed the diagnosis of Coats disease. Histopathological examination revealed the heretofore unreported finding of intraretinal calcification.

In 1908, George Coats¹ described a clinical entity characterized by telangiectasis, aneurysmal retinal vessels, and intraretinal and/or subretinal exudates in young males. In 1912, Leber² reported a similar condition with telangiectasis and multiple retinal aneurysms but without the massive subretinal exudation found in Coats’ series. In 1956, Reese³ observed that patients with multiple miliary aneurysms progressed to massive subretinal exudation and proposed that Leber’s and Coats’ cases represented a continuum of a single pathologic . . . [Full Text of this Article]

Report of a Case


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AUTHOR INFORMATION
Daniel M. Miller, MD, PhD; Matthew S. Benz, MD; Timothy G. Murray, MD; Sander R. Dubovy, MD

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