Skip to main content

Coats’ Disease

  • Chapter
  • First Online:
Pediatric Retina

Abstract

In 1908, George Coats, curator of the Royal London Ophthalmic Hospital, described the clinical and histological features of an ophthalmic disorder “characterized by the presence in some part of the fundus of an extensive mass of exudation” and sometimes accompanied by “very peculiar forms of vascular disease” [1]. Coats observed that the disorder had a slow and insidious onset and occurred most frequently in one eye of otherwise healthy boys. The prominent findings were raised patches of flocculent, yellow–white exudates, usually in the posterior pole, and always beneath retinal vessels. Vascular anomalies, retinal hemorrhage, cystic retinal degeneration, and subretinal accumulations of fibrous tissue were evident microscopically. The disorder was seldom quiescent and progressed slowly to retinal detachment, cataract, glaucoma, and phthisis bulbi [1].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Coats, G.: Forms of retinal disease with massive exudation. R. Lond. Ophthamol. Hosp. Rep. 17, 440–525 (1908)

    Google Scholar 

  2. Coats, G.: Über Retinitis exsudativa (retinitis haeorrhagica externa). Graefes Arch. Ophthalmol. 81, 275–327 (1912)

    Article  Google Scholar 

  3. Leber, T.H.: Über eine durch Vorkommen multipler Miliaraneurysmen characterisierte Form von Retinal degeneration. Graefes Arch. Ophthalmol. 81, 1–14 (1912)

    Article  Google Scholar 

  4. Gass, J.D.M.: Stereoscopic Atlas of Macular Diseases: Diagnosis and Treatment, 3rd edn. Mosby, St. Louis (1987)

    Google Scholar 

  5. Reese, A.B.: Telangiectasis of the retina and Coats’ disease. Am. J. Ophthalmol. 42(1), 1–8 (1956)

    PubMed  CAS  Google Scholar 

  6. Spitznas, M., Joussen, F., Wessing, A., Meyer-Schwickerath, G.: Coats’ disease. Graefes Albrecht Von Graefes Arch. Klin. Exp. Ophthalmol. 195, 241–250 (1975)

    CAS  Google Scholar 

  7. Theodossiadis, G.P., Bairaktaris-Kouris, E., Kouris, T.: Evolution of Leber’s military aneurysms: a clinicopathological study. J. Pediatr. Ophthalmol. Strabismus 16(6), 364–370 (1979)

    PubMed  CAS  Google Scholar 

  8. Duke-Elder, S., Dobree, J.H.: Coats’s syndrome. In: Duke-Elder, S. (ed.) System of Ophthalmology, pp. 164–178. Kimpton, London (1967)

    Google Scholar 

  9. Manschot, W.A., DeBruijn, W.C.: Coats’s diseas: definition and pathogenesis. Br. J. Ophthalmol. 51, 145–157 (1967)

    Article  PubMed  CAS  Google Scholar 

  10. Campbell, F.P.: Coats’ disease and congenital vascular retinopathy. Trans. Am. Ophthalmol. Soc. 74, 365–424 (1976)

    PubMed  CAS  Google Scholar 

  11. Green, W.R.: Coats’ disease. In: Spencer, W.H. (ed.) Ophthalmic Pathology, pp. 700–708. W.B. Saunders, Philadelphia (1996)

    Google Scholar 

  12. Spitznas, M., Joussen, F., Wessing, A.: Treatment of Coats’ disease with photocoagulation. Albrecht Von Graefes Arch. Klin. Exp. Ophthalmol. 199(1), 31–37 (1976)

    PubMed  CAS  Google Scholar 

  13. Tarkkanen, A., Laatikainen, L.: Coats’s disease: clinical, angiographic, histopathological findings and clinical management. Br. J. Ophthalmol. 67, 766–776 (1983)

    Article  PubMed  CAS  Google Scholar 

  14. Woods, A.C., Duke, J.R.: Coats’s disease I. Review of the literature, diagnostic criteria, clinical findings, and plasma lipid studies. Br. J. Ophthalmol. 47, 385–412 (1963)

    Google Scholar 

  15. Gomez Morales, A.: Coats’ disease. Natural history and results of treatment. Am. J. Ophthalmol. 60(5), 855–864 (1965)

    Google Scholar 

  16. Sigelman, J.: Retinal Diseases: Pathogenesis, Laser Therapy, and Surgery. Little Brown, Boston (1984)

    Google Scholar 

  17. Shields, J.A., Shields, C.L., Honavar, S.G., Demirici, H., Cater, J.: Classification and management of Coats’ disease: the 2000 Proctor lecture. Am. J. Ophthalmol. 131(5), 572–583 (2001)

    Article  PubMed  CAS  Google Scholar 

  18. Shields, J.A., Shields, C.L., Honavar, S.G., Demirici, H.: Clinical variations and complications of Coats’ disease in 150 cases: the 2000 Sanford Gifford memorial lecture. Am. J. Ophthalmol. 131(5), 561–571 (2001)

    Article  PubMed  CAS  Google Scholar 

  19. Egerer, I., Tasman, W., Tomer, T.: Coats’ disease. Arch. Ophthalmol. 92, 109–112 (1974)

    Article  PubMed  CAS  Google Scholar 

  20. Haik, B.G.: Advanced Coats’ disease. Trans. Am. ophthalmol. Soc. 89, 371–476 (1991)

    PubMed  CAS  Google Scholar 

  21. Imre, G.: Coats’ disease. Am. J. Ophthalmol. 54(2), 175–191 (1962)

    Google Scholar 

  22. McGettrick, P.M., Loeffler, K.U.: Bilateral Coats’ disease in an infant (a clinical, angriographic, light and electron microscopic study). Eye 1, 136–145 (1987)

    Article  PubMed  Google Scholar 

  23. Theodossiadis, G.P.: Some clinical, fluorescein-angiographic, and therapeutic aspects of Coats’ disease. J. Pediatr. Ophthalmol. Strabismus 16(4), 257–262 (1979)

    Google Scholar 

  24. Patel, H.K., Augsburger, J.J., Eagle Jr., R.C.: Unusual presentation of advanced Coats’ disease. J. Pediatr. Ophthalmol. Strabismus 32, 120–122 (1995)

    PubMed  CAS  Google Scholar 

  25. Chisholm, I.A., Foulds, W.S., Christison, D.: Investigation and therapy of Coats’ disease. Ophthalmol. Soc. UK 94, 355–361 (1974)

    Google Scholar 

  26. Henkind, P., Morgan, G.: Peripheral retinal angioma with exudative retinopathy in adults (Coats’ lesion). Br. J. Ophthalmol. 50, 2–11 (1966)

    Article  PubMed  CAS  Google Scholar 

  27. Fox, K.R.: Coats’ disease. Metab. Pediatr. Ophthalmol. 4, 121–124 (1980)

    PubMed  CAS  Google Scholar 

  28. Chang, M., McLean, I.W., Merritt, J.C.: Coats’ disease: a study of 62 histologically confirmed cases. J. Pediatr. Ophthalmol. Strabismus 21(5), 163–168 (1984)

    PubMed  CAS  Google Scholar 

  29. Lee, S.T., Friedman, S.M., Rubin, M.L.: Cystoid macular edema secondary to justafoveolar telangiectasias in Coats’ disease. Ophthalmic Surg. 22(4), 218–221 (1991)

    PubMed  CAS  Google Scholar 

  30. Goel, S., Augsburger, J.J.: Hemorrhagic retinal macrocysts in advanced Coats’ disease. Retina 11(4), 437–440 (1991)

    PubMed  CAS  Google Scholar 

  31. Berinstein, D.M., Hiraoka, M., Trese, M.T., Shastry, B.S.: Coats’ disease and congenital retinoschisis in a single eye: a case report and DNA analysis. Ophthalmologica 215(2), 132–135 (2001)

    Article  PubMed  CAS  Google Scholar 

  32. Kremer, I., Cohen, S., Izhak, R.B., Ben-Sira, I.: An unusual case of congenital unilateral Coats’s disease associated with morning glory optic disc anomaly. Br. J. Ophthalmol. 69(1), 32–37 (1985)

    Article  PubMed  CAS  Google Scholar 

  33. Wilensky, J.T., Goldberg, M.F., Ziyai, F., Wong, P.W.K.: Infantile cataracts, Coats’ disease, and ketotic hyperglycemia. J. Pediatr. Ophthalmol. 13(2), 75–79 (1976)

    PubMed  CAS  Google Scholar 

  34. Pruett, R.C.: Retinitis pigmentosa: clinical observations and correlations. Trans. Am. Ophthalmol. Soc. 81, 693–735 (1983)

    PubMed  CAS  Google Scholar 

  35. Wise, G.N.: Coats’ disease. AMA Arch. Ophthalmol. 58, 735–746 (1957)

    Article  PubMed  CAS  Google Scholar 

  36. Imre, G.: Coats’ disease and hyperlipemic retinitis. Am. J. Ophthalmol. 64(4), 726–728 (1967)

    PubMed  CAS  Google Scholar 

  37. Egbert, P.R., Chan, C., Winter, F.C.: Flat preparations of the retinal vessels in Coats’ disease. J. Pediatr. Ophthalmol. 13(6), 336–339 (1976)

    PubMed  CAS  Google Scholar 

  38. Tripathi, R., Ashton, N.: Electron microscopical study of Coats’s disease. Br. J. Ophthalmol. 55, 289–301 (1972)

    Article  Google Scholar 

  39. Farkas, T.G., Potts, A.M., Boone, C.: Some pathologic and biochemical aspects of Coats’ disease. Am. J. Ophthalmol. 75(2), 289–301 (1973)

    PubMed  CAS  Google Scholar 

  40. Green, W.R.: Bilateral Coats’ disease. Massive gliosis of the retina. Arch. Ophthalmol. 77, 378–383 (1967)

    Google Scholar 

  41. Takel, Y.: Origin of ghost cell in Coats’ disease. Invest. Ophthalmol. 15(8), 677–681 (1976)

    Google Scholar 

  42. Judisch, J.F., Apple, D.J.: Orbital cellulites in an infant secondary to Coats’ disease. Arch. Ophthalmol. 98, 2004–2006 (1980)

    Article  PubMed  CAS  Google Scholar 

  43. Small, R.G.: Coats’ disease and muscular dystrophy. Trans. Am. Acad. Ophthalmol. Otolaryngol. 72(2), 225–231 (1968)

    PubMed  CAS  Google Scholar 

  44. Spallone, A., Carlevaro, G., Ridling, P.: Autosomal dominant retinitis pigmentosa and Coats’-like disease. Int. Ophthalmol. 8, 147–151 (1985)

    Article  PubMed  CAS  Google Scholar 

  45. Lanier, J.D., McCrary III, J.A., Justice, J.: Autosomal recessive retinitis pigmentosa and Coats’ disease. A presumed familial incidence. Arch. Ophthalmol. 94, 1737–1742 (1976)

    Article  PubMed  CAS  Google Scholar 

  46. Khan, J.A., Ide, C.H., Strckland, M.P.: Coats’-type retinitis pigmentosa. Surv. Ophthalmol. 32(5), 317–332 (1988)

    Google Scholar 

  47. Black, G.C., Perveen, R., Bonshek, R., Cahill, M., Clayton-Smith, J., Lloyd, I.C., McLeod, D.: Coats’ disease of the retina (unilateral retinal telangiectasis) caused by somatic mutation in the NDP gene: a role for norrin in retinal angiogenesis. Hum. Mol. Genet. 8, 2031–2035 (1999)

    Google Scholar 

  48. Skuta, G.L., France, T.D., Stevens, T.S., Laxova, R.: Apparent Coats’ disease and pericentric inversion of chromosome 3. Am. J. Ophthalmol. 104(1), 84–86 (1987)

    PubMed  CAS  Google Scholar 

  49. Genkova, P., Toncheva, D., Tzoneva, M., Konstantinov, I.: Deletion of 13q12.1 in a child with Coats disease. Acta Paediatr. Hung. 27(2), 141–143 (1986)

    Google Scholar 

  50. Richter, M., Gottanka, J., May, C.A., Welge-Lussen, U., Berger, W., Lutjen-Drecoll, E.: Retinal vasculature changes in Norrie disease mice. Invest. Ophthalmol. Vis. Sci. 39(12), 2450–2457 (1998)

    PubMed  CAS  Google Scholar 

  51. den Hollander, A.I., Heckenlively, J.R., van den Born, L.I., de Kok, Y.J., van der Velde-Visser, S.D., Kellner, U., Jurklies, B., van Schooneveld, M.J., Blankenagel, A., Rohrschneider, K., Wissinger, B., Cruysberg, J.R., Deutman, A.F., Brunner, H.G., Apfelstedt-Sylla, E., Hoyng, C.B., Cremers, F.P.: Leber congenital amaurosis and retinitis pigmentosa with Coats-like exudative vasculopathy are associated with mutations in the crumbs homologue 1 (CRB1) gene. Am. J. Hum. Genet. 69(1), 198–203 (2001)

    Article  Google Scholar 

  52. Ridley, M.E., Shields, J.A., Brown, G.C., Tasman, W.: Coats’ disease. Evaluation of management. Ophthalmology 89, 1381–1387 (1982)

    PubMed  CAS  Google Scholar 

  53. Harris, G.S.: Coats’ disease, diagnosis and treatment. Can. J. Ophthalmol. 5, 311–320 (1970)

    PubMed  CAS  Google Scholar 

  54. Budning, A.S., Heon, E., Gallie, B.L.: Visual prognosis of Coats’ disease. J. AAPOS 2(6), 356–359 (1998)

    Article  PubMed  CAS  Google Scholar 

  55. Deutsch, T.A., Rabb, M.F., Jampol, L.M.: Spontaneous regression of retinal lesions in Coats’ disease. Can. J. Ophthalmol. 17(4), 169–172 (1982)

    PubMed  CAS  Google Scholar 

  56. Shields, J.A., Parsons, H.M., Shields, C.L., Shah, P.: Lesions simulating retinoblastoma. J. Pediatr. Ophthalmol. Strabismus 26(6), 338–340 (1991)

    Google Scholar 

  57. De Potter, P., Shields, C.L., Shields, J.A.: The role of magnetic resonance imaging in children with intraocular tumors and simulating lesions. Ophthalmology 103, 1774–1783 (1996)

    PubMed  CAS  Google Scholar 

  58. Atta, H.R., Watson, N.J.: Echographic diagnosis of advanced Coats’ disease. Eye 6, 80–85 (1992)

    Article  PubMed  Google Scholar 

  59. Senft, S.H., Hidayat, A.A., Cavender, J.C.: Atypical presentation of Coats disease. Retina 14(1), 36–38 (1994)

    Article  PubMed  CAS  Google Scholar 

  60. Katz, N.N.K., Margo, C.E., Dorwart, R.H.: Computed tomography with histopathologic correlation in children with leukocoria. J. Pediatr. Ophthalmol. Strabismus 21(2), 50–56 (1984)

    PubMed  CAS  Google Scholar 

  61. Lai, W.W., Edward, D.P., Weiss, R.A., Mafee, M.F., Tso, M.O.M.: Magnetic resonance imaging findings in a case of advanced Coats’ disease. Ophthalmic Surg. Lasers 27(3), 234–238 (1996)

    PubMed  CAS  Google Scholar 

  62. Haik, B.G., Koizumi, J., Smith, M.E., Ellsworth, R.M.: Fresh preparation of subretinal fluid aspirations in Coats’ disease. Am. J. Ophthalmol. 100(2), 327–328 (1985)

    PubMed  CAS  Google Scholar 

  63. Kremer, I., Nissenkorn, I., Ben-Sira, I.: Cytologic and biochemical examination of the subretinal fluid in diagnosis of Coats’ disease. Acta Ophthalmol. 67, 342–346 (1989)

    CAS  Google Scholar 

  64. Das, A., Roy, I.S., Maitra, T.K.: Lactate dehydrogenase level and protein pattern in the aqueous humour of patients with retinoblastoma. Can. J. Ophthalmol. 18(7), 337–339 (1983)

    Google Scholar 

  65. Jakobiec, F.A., Abramson, D., Scher, R.: Increased aqueous lactate dehydrogenase in Coats’ disease. Am. J. Ophthalmol. 85(5), 686–689 (1978)

    PubMed  CAS  Google Scholar 

  66. Lifshitz, T., Tessler, Z., Maor, E., Yassur, Y.: Increased aqueous lactic dehydrogenase in Coat’s disease. Ann. Ophthalmol. 19, 116–119 (1987)

    PubMed  CAS  Google Scholar 

  67. McGrand, J.C.: Photocoagulation in Coats’ disease. Trans. Ophthalmol. Soc. UK 90, 47–56 (1970)

    PubMed  CAS  Google Scholar 

  68. Guyton, J.S., McGovern, F.H.: Diathermy coagulation n the treatment of angiomatosis retinae and of juvenile Coats’s disease: report of two cases. Am. J. Ophthalmol. 26(7), 675–684 (1943)

    Google Scholar 

  69. Schmidt-Erfurth, U., Lucke, K.: Vitreoretinal surgery in advanced Coats’ disease. Ger. J. Ophthalmol. 4(1), 32–36 (1995)

    PubMed  CAS  Google Scholar 

  70. Silodor, S.W., Augsburger, J.J., Shields, J.A., Tasman, W.: Natural history and management of advanced Coats’ disease. Ophthalmic Surg. 19(2), 89–93 (1988)

    PubMed  CAS  Google Scholar 

  71. Yoshizumi, M.O., Kreiger, A.E., Lewis, H., Foxman, B., Hakakha, B.A.: Vitrectomy techniques in late-stage Coats’-like exudative retinal detachment. Doc. Ophthalmol. 90(4), 387–394 (1995)

    Article  PubMed  CAS  Google Scholar 

  72. Gurwin, E.B., Fitzsimons, R.B., Sehmi, K.S., Bird, A.C.: Retinal telangiectasias in facioscapulohumeral muscular dystrophy with deafness. Arch. Ophthalmol. 103, 1695–1700 (1985)

    Article  PubMed  CAS  Google Scholar 

  73. Fitzsimons, R.B., Gurwin, E.B., Bird, A.C.: Retinal vascular abnormalities in facioscapulohumeral muscular dystrophy. Brain 110, 631–648 (1987)

    Article  PubMed  Google Scholar 

  74. Cameron, J.D., Yanoff, M., Frayer, W.C.: Coats’ disease and Turner’s syndrome. Am. J. Ophthalmol. 78(5), 852–854 (1974)

    PubMed  CAS  Google Scholar 

  75. Neki, A.S., Sharma, A.: Ipsilateral Coat’s readtion in the eye of a child with en coup de saber morphoea – a case report. Ind. J. Ophthalmol. 40(4), 115–116 (1992)

    CAS  Google Scholar 

  76. Newell, S.W., Hall, B.D., Anderson, C.W., Lim, E.S.: Hallermann-Streiff syndrome with Coats’ disease. J. Pediatr. Ophthalmol. Strabismus 31, 123–125 (1994)

    PubMed  CAS  Google Scholar 

  77. Schuman, J.S., Lieberman, K.V., Friedman, A.H., Berger, M., Schoeneman, M.J.: Senior-Loken syndrome (familial renal-retinal dystrophy) and Coats’ disease. Am. J. Ophthalmol. 100(6), 822–827 (1985)

    PubMed  CAS  Google Scholar 

  78. Folk, J.C., Genovese, F.N., Biglan, A.W.: Coats’ disease in a patient with Cornelia de Lange syndrome. Am. J. Ophthalmol. 91(5), 607–610 (1981)

    PubMed  CAS  Google Scholar 

  79. Burch, J.V., Leveille, A.S., Morse, P.H.: Ichthyosis hystrix (epidermal nevus syndrome) and Coats’ disease. Am. J. Ophthalmol. 89(1), 25–30 (1980)

    PubMed  CAS  Google Scholar 

  80. Kajtar, P., Mehes, K.: Bilateral Coats retinopathy associated with aplastic anemia and mild dyskeratotic signs. Am. J. Med. Genet. 49(4), 374–377 (1994)

    Article  PubMed  CAS  Google Scholar 

  81. Robitaille, J.M., Monsein, L., Traboulsi, E.I.: Coats’ disease and central nervous system venous malformation. Ophthalmic Genet. 17(4), 215–218 (1996)

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Franco M. Recchia .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Berlin Heidelberg

About this chapter

Cite this chapter

Recchia, F.M., Capone, A. (2011). Coats’ Disease. In: Reynolds, J., Olitsky, S. (eds) Pediatric Retina. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-12041-1_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-12041-1_10

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-12040-4

  • Online ISBN: 978-3-642-12041-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics