Coats Disease - Fundus Photo

Please see the Normal Fundus photo first for comparison. This black and white photo shows a ring of lipid around the macula. The lipid is exuded from abnormal capillaries which are present mainly to the west side of the macula. These abnormal capillaries are congenitally aberrant. This type of leakage sometimes responds to a grid of laser photocoagulation burns placed in the area of the abnormal vessels. Often a scar will form in the center of the macula as the lipid reabsorbs. Coats disease more commonly involves males and is usually affects one eye. Please look at the Coats Disease - Fluorescein Angiogram photo, which goes along with this fundus photo.