RT - Journal TY - JOUR A1 - Rishi, Pukhraj A1 - Rishi, Ekta A1 - Uparkar, Mahesh A1 - Sharma, Tarun A1 - Gopal, Lingam A1 - Bhende, Pramod A1 - Bhende, Muna A1 - Sen, Pratik A1 - Sen, Parveen T1 - Coats' disease: An Indian perspective YR - 2010/3/1 JF - Indian Journal of Ophthalmology JO - Indian J Ophthalmol SP - 119 OP - 124 VO - 58 IS - 2 UL - https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=119;epage=124;aulast=Rishi;t=5 DO - 10.4103/0301-4738.60081 N2 - Aim: To describe the clinical features, treatment and outcome patterns in 307 eyes with Coats' disease. Materials and Methods: Retrospective chart review of patients diagnosed with Coats' disease between January 1996 and January 2006 from a single referral center in southern India. Results: Two hundred and eighty patients (307 eyes) with mean age of 15.67 years (range: Four months-80 years) were included. Decreased vision (77%), unilateral affection (90%) and male preponderance (83.4%) were chief presenting features. Anterior segment involvement was seen in 67 (21.8%) eyes. Retinal telangiectasia were seen in 302 (99%) eyes, exudation in 274 (89%) eyes and retinal detachment in 158 (51.5%) eyes. Four-quadrant disease was seen in 207 (67.2 %) eyes. Visual acuity was < 20/200 in 249 (80.9%) eyes. One hundred and nine of 176 treated eyes (61.93%) had favorable anatomical outcome; 207 of 280 eyes (74%) had an optimal structural outcome. Seventeen (5.3%) eyes were enucleated. Complications following treatment included phthisis bulbi (7%), neovascular glaucoma (5%), epiretinal membrane (4.4%) and rubeosis iridis (4.4%). Conclusion: Indian patients with Coats' disease have a high male predominance, the majority of whom present with severe visual impairment and extensive four-quadrant exudation. Unusual presentations such as pain, vitreous hemorrhage and a high incidence of anterior segment involvement are distinctive to Indian eyes. ER -