Abstract
Introduction: Coats disease is a rare idiopathic retinal vascular disorder characterized by telangiectasia, retinal and sub retinal exudates, potentially leading to retinal detachment, neovascular glaucoma, and vision loss. It typically presents in male children with a mean age of onset of 5 years and is usually unilateral. This report describes a case of bilateral Coats disease in a 2-year-old boy. The objective is to outline the clinical manifestations and management of this disease in the context of its rare presentation in both eyes and at a young age. Results: A 2-year-old boy presented with bilateral leukocoria and inward deviation of his left eye. Anterior segment examination revealed ectropion uveae with anterior polar cataract in the right eye and ectropion uveae with a subluxated lens in the left eye. Fundus examination showed hard exudates and fixed yellow retinal detachment in both eyes. B-scan excluded calcifications. Ocular magnetic resonance (MRI) imaging indicated bilateral exudative retinitis. The patient undergone pars plana vitrectomy in his left eye and is programmed for pars plana vitrectomy of the fellow eye. Conclusion: This case underscores the importance of considering Coats disease as a differential diagnosis in cases of bilateral leukocoria in infants, following the exclusion of retinoblastoma.
Published Version
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