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Intermediate Technical IVT

Coats disease

Pronunciation: KOATS dih-ZEEZ

Retinal vascular disorder characterized by abnormal capillary development and exudative retinal detachment.

Full Definition

Coats disease is a rare, progressive retinal vascular disorder characterized by abnormal development and leakage of retinal capillaries, leading to extensive lipid exudation and exudative retinal detachment. The condition typically affects young males unilaterally and can range from mild peripheral vascular anomalies to severe cases with total retinal detachment and secondary glaucoma. The hallmark finding is extensive yellow exudative material beneath the retina, often accompanied by dilated and tortuous retinal vessels. Early stages may be asymptomatic, but advanced disease can cause severe vision loss or painful secondary glaucoma requiring enucleation. Treatment options include laser photocoagulation, cryotherapy, or anti-VEGF therapy for earlier stages, while advanced cases may require vitreoretinal surgery or, in end-stage disease, enucleation.

Usage

Usage note: Named after Scottish ophthalmologist George Coats; capitalize as proper noun.

In Context

  • "The child presented with unilateral Coats disease showing extensive subretinal exudation." — Pediatric ophthalmology case presentation
  • "Early intervention with laser therapy helped stabilize the Coats disease progression." — Treatment outcome report

Also known as

exudative retinopathy Coats syndrome

Don't confuse with

Stargardt disease retinal capillary hemangioma familial exudative vitreoretinopathy

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