The most important differential diagnosis is unilateral retinoblastoma, which occurs in the same age group and has some overlapping clinical manifestations., Coats' disease is an idiopathic condition characterized by telangiectatic and aneurysmal retinal vessels and chronic accumulation of subretinal exudates. It is predominantly unilateral occurring mostly in young males, and can cause severe visual loss resulting from exudative retinal detachment
. Less commonly, it presents in adulthood and progresses at a slower rate, but with similar features., The visual prognosis depends on the macular involvement.
In her right eye there was exudative retinal detachment
and metastatic lesion around optic nerve.
Clinically, it is characterized by diffuse bilateral granulomatous panuveitis with exudative retinal detachment
that can be associated with auditory, neurological, and cutaneous manifestations (1).
In contrast, with melanomas, the deposit is usually of a significant size before an exudative retinal detachment
can be seen.
Treatment was recorded unsuccessful when there was increased in vitreous seedlings, size of the tumour, and exudative retinal detachment
with no potential vision.
Fundoscopic examination revealed no cells in the vitreous and exudative retinal detachment
from the inferior quadrants to the superotemporal arcade in the right eye.
Shields, "Bevacizumab for Coats' disease with exudative retinal detachment
and risk of vitreoretinal traction," British Journal of Ophthalmology, vol.
Untreated Coats' disease leads to loss of vision due to exudative retinal detachment
, with 10% of patients developing secondary neovascular glaucoma .
RE media hazy due to vitritis, disc oedema and exudative retinal detachment
Significant ocular complications included vitreous hemorrhage (2.9%), transient corneal edema (2.0%), and exudative retinal detachment
(1.0%); all were resolved spontaneously after several weeks.
Less common features included exudative retinal detachment
, anterior uveitis, periphlebitis, branch retinal vein occlusion, and vitreous hemorrhage.
(2) Choroiditis, retinal vasculitis, optic neuritis, episcleral nodules, and exudative retinal detachment
are other rare ocular complications that have been reported in the literature.