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Article
March 1992

Picture of the Month

Author Affiliations

Contributed from New York Hospital and Cornell Medical Center, New York, NY.

Am J Dis Child. 1992;146(3):353-354. doi:10.1001/archpedi.1992.02160150093030
Abstract

A 3½-year-old child from Brazil presented with leukocoria of the left eye. Esotropia was the first manifestation of an eye problem and was noted 18 months before presentation. A computed tomographic scan of the eyes and orbits was performed.

Denouement and Discussion 

Retinal Telangiectasia (Coats' Disease) 

Manifestations  Coats' disease is a rare, chronic, progressive retinal disorder characterized by vascular changes and exudation. The vascular abnormalities include telangiectasia, microaneurysms, and dilated, tortuous vessels. The exudation is a result of leakage of plasma and cellular elements from the vascular abnormalities and may affect both retinal and subretinal tissues. The most striking funduscopic findings in Coats' disease are the yellowish exudates that form a circinate patternA 3½-year-old child from Brazil presented with leukocoria of the left eye. Esotropia was the first manifestation of an eye problem and was noted 18 months before presentation. A computed tomographic scan of the eyes and orbits was performed.

Denouement and Discussion 

Retinal Telangiectasia (Coats' Disease) 

Manifestations  Coats' disease is a rare, chronic, progressive retinal disorder characterized by vascular changes and exudation. The vascular abnormalities include telangiectasia, microaneurysms, and dilated, tortuous vessels. The exudation is a result of leakage of plasma and cellular elements from the vascular abnormalities and may affect both retinal and subretinal tissues. The most striking funduscopic findings in Coats' disease are the yellowish exudates that form a circinate pattern around the abnormal retinal vessels.

Origin  Coats' disease is sporadic in occurrence and of unknown origin. It is usually unilateral, although rare bilateral cases have been described.1 Two thirds of the reported cases occur in males, and

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