This 20YO male presented with classic Coats disease findings. Confluent subretinal lipid extends into the inferior macula, sparing the foveal center, allowing for 20/30 vision.
The source for this lipid is noted in the inferotemporal midperiphery with dilated, irregular vessels, aneurysmal dilations, and underlying subretinal fluid and lipid.
Learning Points:
Laser photocoagulation can be used to treat leaking macroaneurysms and telangiectatic vessels in Coats disease. Anti-VEGF injections can also be used to stabilize vascular leakage.
