Bilateral Long Standing Exudative Retinal Detachment in Coat's Disease

Purpose: Coat's disease presents with an exudative retinal detachment at an early age. However, bilateral involvement is uncommon. We present a case with bilateral long standing retinal detachment (RD) in Coat's disease. Methods: An 18 years old male having progressive diminution of vision...

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Main Author: Punita Kumari Sodhi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-10-01
Series:Delhi Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.7869/djo.720
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author Punita Kumari Sodhi
author_facet Punita Kumari Sodhi
author_sort Punita Kumari Sodhi
collection DOAJ
description Purpose: Coat's disease presents with an exudative retinal detachment at an early age. However, bilateral involvement is uncommon. We present a case with bilateral long standing retinal detachment (RD) in Coat's disease. Methods: An 18 years old male having progressive diminution of vision from last six years had visual acuity of logmar 1.77 and 1.47 in the right eye (RE) and left eye (LE) respectively with poorly dilating pupils in both eyes. He did not have any systemic abnormality. We did a detailed fundus examination along with fundus fluorescein angiography (FFA) and OCT. Result: The fundus examination showed subretinal exudates with demarcation line above long standing infero-temporal RD in RE. The LE had a self-settled RD with an atrophic temporal retina having macrocysts. There was no proliferative vireo-retinopathy (PVR) in either eye. The fundus fluorescein angiography (FFA) showed leaks at the exudates in RE and leak at the optic disc in LE. The optical coherence tomography (OCT) showed RD in RE and self-settled RD with subretinal exudate in LE. Conclusion: The manuscript shows a bilateral long-standing exudative RD in Coat's disease with associated features like subretinal exudates showing leaks in angiography, demarcation line, macrocysts, retinal atrophy with underlying choroidal flush, absence of PVR and self-settlement of RD.
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spelling doaj-art-b887450dd5dd417b8171cab4f1dfa7362025-08-20T03:10:56ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842021-10-01322606210.7869/djo.720Bilateral Long Standing Exudative Retinal Detachment in Coat's DiseasePunita Kumari SodhiPurpose: Coat's disease presents with an exudative retinal detachment at an early age. However, bilateral involvement is uncommon. We present a case with bilateral long standing retinal detachment (RD) in Coat's disease. Methods: An 18 years old male having progressive diminution of vision from last six years had visual acuity of logmar 1.77 and 1.47 in the right eye (RE) and left eye (LE) respectively with poorly dilating pupils in both eyes. He did not have any systemic abnormality. We did a detailed fundus examination along with fundus fluorescein angiography (FFA) and OCT. Result: The fundus examination showed subretinal exudates with demarcation line above long standing infero-temporal RD in RE. The LE had a self-settled RD with an atrophic temporal retina having macrocysts. There was no proliferative vireo-retinopathy (PVR) in either eye. The fundus fluorescein angiography (FFA) showed leaks at the exudates in RE and leak at the optic disc in LE. The optical coherence tomography (OCT) showed RD in RE and self-settled RD with subretinal exudate in LE. Conclusion: The manuscript shows a bilateral long-standing exudative RD in Coat's disease with associated features like subretinal exudates showing leaks in angiography, demarcation line, macrocysts, retinal atrophy with underlying choroidal flush, absence of PVR and self-settlement of RD.https://journals.lww.com/10.7869/djo.720bilateral retinal detachmentcoat's diseaseexudative retinal detachmentlong standing retinal detachmentproliferative vitreo-retinopathyself-settled retinal detachmentsub-retinal exudates
spellingShingle Punita Kumari Sodhi
Bilateral Long Standing Exudative Retinal Detachment in Coat's Disease
Delhi Journal of Ophthalmology
bilateral retinal detachment
coat's disease
exudative retinal detachment
long standing retinal detachment
proliferative vitreo-retinopathy
self-settled retinal detachment
sub-retinal exudates
title Bilateral Long Standing Exudative Retinal Detachment in Coat's Disease
title_full Bilateral Long Standing Exudative Retinal Detachment in Coat's Disease
title_fullStr Bilateral Long Standing Exudative Retinal Detachment in Coat's Disease
title_full_unstemmed Bilateral Long Standing Exudative Retinal Detachment in Coat's Disease
title_short Bilateral Long Standing Exudative Retinal Detachment in Coat's Disease
title_sort bilateral long standing exudative retinal detachment in coat s disease
topic bilateral retinal detachment
coat's disease
exudative retinal detachment
long standing retinal detachment
proliferative vitreo-retinopathy
self-settled retinal detachment
sub-retinal exudates
url https://journals.lww.com/10.7869/djo.720
work_keys_str_mv AT punitakumarisodhi bilaterallongstandingexudativeretinaldetachmentincoatsdisease