Coats’s disease, first described by George Coats in 1908, is an idiopathic retinal vascular disease historically associated with poor outcome, with 44% of eyes blind at diagnosis according to a recent population-based study in the United Kingdom. A few of the major hurdles in diagnosing and treating this condition are the subtle signs and symptoms of the early stage of the disease, the incidence of the disease in relatively young patients who are unable to report the symptoms, predominant unilateral presentation of the symptoms, no associated systemic abnormalities and no hereditary and racial predilection of the disease. Detection of the disease in advanced stages has been proven to be associated with poor final visual acuity and enucleation with a less frequent resolution of disease, subretinal fluid and exudation. On the other hand, detection of the disease in Stage 1 has shown to be associated with poor visual outcome (20/200 or worse) in close to 0% of the cases according to a 2000 study.
Advances in retinal imaging in recent years, especially Wide Field imaging, have the potential of overcoming these hurdles by detecting the disease in its early asymptomatic stage. This presents a favorable opportunity to start early treatment, which can lead to a drastic improvement in the overall prognostic and visual acuity outcome of this condition in the general population.
In this presentation, we would like to discuss the case of an asymptomatic 11-year-old male child and the role played by wide-field imagining in the early detection of the condition at a routine review at the optician. We would also like to discuss the potential role and how can advancing Wide field Imaging be used in the treatment and prognosis of Coat’s disease in our clinical practice.
Audience Take Away:
• The presentation will help the audience with detecting and diagnosing Coat’s disease in its early asymptomatic stage.
• The presentation will promote increased vigilance in the audience while using Wide Field Imaging to detect the condition in asymptomatic patients.
• Promote the audience to have a low threshold for using Wide Field Imaging while investigating patients.