Coats disease: An overview of classification, management and outcomes

Coats disease is an idiopathic retinal vascular disorder with retinal telangiectasia with intraretinal and/or subretinal exudation without appreciable retinal or vitreal traction. The condition is sporadic with no associated systemic abnormalities. Unilateral involvement in young males is the typica...

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Bibliographic Details
Published in:Indian journal of ophthalmology 2019-06, Vol.67 (6), p.763-771
Main Authors: Sen, Mrittika, Shields, Carol, Honavar, Santosh, Shields, Jerry
Format: Article
Language:English
Subjects:
Age
Aneurysms
Care and treatment
Classification
Coats disease
Cryotherapy
Diagnosis
Diagnosis, Differential
Disease Management
Edema
Enucleation
Exudates and transudates
exudation
Fluorescein Angiography
Fundus Oculi
Health aspects
Humans
Males
Measurement
Medical examination
Ophthalmology
Retina
Retina - diagnostic imaging
Retinal diseases
Retinal Telangiectasis - classification
Retinal Telangiectasis - diagnosis
Retinal Telangiectasis - therapy
Review
Surgery
telangiectasia
Telangiectasis
Tomography, Optical Coherence - methods
Trends
Vascular endothelial growth factor
Visual acuity
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Description
Summary:Coats disease is an idiopathic retinal vascular disorder with retinal telangiectasia with intraretinal and/or subretinal exudation without appreciable retinal or vitreal traction. The condition is sporadic with no associated systemic abnormalities. Unilateral involvement in young males is the typical presentation with most cases being diagnosed in the first and second decade of life. Younger the patient, more severe is the presentation and poorer the visual outcome. The management varies with the stage of the disease. Over the years, we have shifted from enucleation to a more conservative approach for the treatment of Coats disease with laser photocoagulation, cryotherapy and surgery for retinal detachment achieving good outcomes. The anti-VEGF agents have come into the scene as important form of adjuvant treatment along with the traditional management options. This article describes the clinical features, underlying pathology, classification and staging, the complications and the management of Coats disease and gives an overview of the changing trends in treatment and outcomes spanning across five decades.
ISSN:0301-4738
1998-3689
DOI:10.4103/ijo.IJO_841_19