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Coats' Disease Diagnosed During Adulthood.
Rahaf A Mandura1, Abdullah S Alqahtani2
1Department of Ophthalmology, King Abdulaziz University, Jeddah, SAU.
Cureus
|August 12, 2021
Summary
This case study highlights a rare instance of Coats
Area of Science:
- Ophthalmology
- Retinal Vascular Diseases
Background:
- Coats' disease is a congenital retinal telangiectatic and aneurysmal condition.
- Typically presents in early childhood with retinal exudation.
Observation:
- A 35-year-old male presented with adult-onset Coats' disease.
- Symptoms included two months of left eye visual loss.
- Fundus examination revealed macular lipid exudation, telangiectatic vessels, and vascular malformations.
Findings:
- Fluorescein angiography confirmed leakage from telangiectatic vessels.
- Optical coherence tomography showed significant macular edema.
- Diagnosis of adult-onset Coats' disease was established.
Implications:
- This case underscores the possibility of Coats' disease presenting in adulthood.
- Intravitreal ranibizumab and laser photocoagulation were effective treatments.
- Highlights the importance of considering atypical presentations in clinical practice.
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