Presenting Author: Dr. Kshitij M Parekh (Resident, Dr. Vasantrao Pawar Medical College, Nashik)

Guide: Dr. Dhiraj BalwirAssociate Professor Dept. of Ophthalmology

Glowing Bulbs In a Sea of Darkness – A Case of Coats’ Disease

Coats’ Disease

Rare CongenitalNon hereditary BlindnessCharacterized by abnormal development

of blood vessels behind the retina

Case HistoryAn 8 year old male presented with H/O◦Diminished vision in right eye since 2 months.

On Examination RE :

Vision : No Perception of Light Moth Eaten Iris Non Reacting Pupil Anterior Capsular Changes, PSC +1, Exotropia

Posterior Segment Examination

Total Retinal Detachment with multiple shiny crystals over fundus.

• Multiple Fresh haemorrhages

• Solid Choroidal lesion

Ultrasonography

Hyperechoic Mass in posterior Vitreous

ConclusionCoats’ Disease is definitively identified

based on clinical assessment, ultrasonography, and laboratory tests

Preponderance to mimic clinical signs of retinoblastoma

Treatment of this disorder is based on the extent of disease at presentation.

Application of laser or surgery may be required to preserve vision in these patients