Case #12 – Atypical Coats Disease

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References G. Coates. 1908 Forms of retinal diseases with massive exudation. R Lond Ophthalmol Hosp Rep; 440-525 A.B. Reese. 1956 Telangiectasis of the Retina and Coats' Disease. Am J Ophthalmol; 42 (1) 1-8 A. Del Longo. 2004 Coats disease. Orphanet Encyclopedia. 9 J. A. Shields, C.L. Shields, S.G. Honavar, and H. Demirchi. 2001 Clinical

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Acknowledgements Jeremy Whitney Sanjeev Nath Larry Yannuzzi Alyssa Taussig Doreen Ng Kenneth Wald Yuliya Bababekova

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Sherry Bass, OD, FAAO Dr. Sherry J. Bass is a Distinguished Teaching Professor at the SUNY State College of Optometry where she has served on the faculty for over 29 years and a Fellow of the American Academy of Optometry. She is an attending in the Retina Clinic and the Glaucoma Institute at SUNY, where

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K. Bailey Freund, MD Dr. K. Bailey Freund, MD is a retina specialist who practices at Vitreous-Retina-Macula Consultants of New York. He is a graduate of Williams College and the New York University School of Medicine. Dr. Freund's residency training in general ophthalmology and two-year fellowship in medical and surgical retina were at the Manhattan

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Vincent Giovinazzo, MD Vincent Giovinazzo, MD is an associate clinical professor at the State University of New York College of Optometry. He is also the Medical Director of Ophthalmology at Staten Island University Hospital. He also provides care at the NY Vitreo Retina Macula group in NYC. Dr. Giovinazzo completed his undergraduate studies at

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Jerome Sherman, OD, FAAO Jerome Sherman, O.D., is perhaps optometry's most prolific writer, publishing over 650 clinical articles, research manuscripts, book chapters and two CDs. He is senior author of three books that were published in 2007, and has delivered over three thousand lectures both nationally and internationally. He has served as a

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Links to Additional Retina Revealed Cases utilizing Optos® Technology Case #1 - Pathological Myopia Case #2 - Plaquenil Induced Retinal Toxicity Case #5 - Vein Occlusion Case #7 - Suspicious Nevus Case #8 - "Morning Glory" Disc Coloboma Case #9 - AV Malformation (AVM) Case #10 - Choroidal Neovascularization (CNV) Case #11 - Non-glaucomatous

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Differential Diagnosis Other possible diagnoses Retinopathy of Prematurity Sickle cell Norries disease6 Familial Exudative Vitreo-Retinopathy6 Hemangioma Eales Disease Why excluded in this case no history of prematurity normal hemoglobin electrophoresis no other systemic finding no family history not supported by the FA and abnormalities in the fellow eye "wastepaper basket" diagnosis when

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Comments and Conclusions About a 100 years ago, Coat presented a clinicopathologic description of peripheral lesions characterized by massive exudation.1About 50 years later, Reese integrated the Coats lesions with multiple retinal aneurysms as described by Leber and furnished evidence that the "two conditions are one and the same".2Coats Disease is an idiopathic disorder of abnormal

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