A 3 year old male presents with a sudden onset visual loss in left eye. Ophthalmological examination reveals strabismus and white pupillary reflex. Fundus finding is shown below.What is your diagnosis?: (A) Retinoblastoma, (B) Sickle cell retinopathy, (C) Toxoplasmosis, (D) Coats disease
Answer is D. The clinical history along with fundus finding of telangiectatic vessels and hard exudates points towards a diagnosis of Coats disease. Coats disease
Idiopathic non-hereditary,retinal telangiectasia.
Age group-1st decade of life (average 5 years)
Clinical features-Unilateral visual loss,strabismus,leukokoria.
It is characterised by retinal angiomas and massive subretinal exudation from the angiomas.This exudation produces retinal detachment.Cataract and angle closure glaucoma may also occur in late stages.