This 66YO male presented with classic Coats disease findings. Vision was 20/30.
Confluent subretinal lipid extends into the peripheral temporal macula. The source for this lipid is noted in the temporal midperiphery, with dilated, irregular telangiectatic vessels with aneurysmal dilations.
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.
