This 54YO male patient has a long history of Coats disease. Vision was 20/400 when he was referred to our practice on 9/9/21. Unfortunately, he was lost to follow-up for almost a year because of his fear of doctors. Vision decreased to hand motion.
Optos color imaging shows his funduscopic appearance at the initial and subsequent visits. Fluorescein angiography shows extensive leakage from the various vascular abnormalities, as well as peripheral temporal ischemia. Although the posterior pole lipid mostly decreased during the prior year, the exudative detachment enlarged, now spreading through the macula.
Vitrectomy is scheduled in hopes of preventing further vision loss.
