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~13 year old boy. decreased vision symptoms od starting 5 yrs prior, child didnt tell anyone about the symptoms for at least first year. h/o laser by outside eye md. this is a historical case from memory, ?ntravitreat anti-VEGF/ and steroids. complains vision slowly declining, but adsds vision not useful for several years. comes in to get a second opinion. exam od: vision ~20/400, dx: coats with leaking miliary aneurysms. scheduled for laser of angiographically leaking aneurysms, particularly in the supratemporal quadrant

mon_od.jpg
coats disease; exudative retinitis; retinal telangiectasis; leber multiple miliary aneurysm disease643 visualizado (s)classic coats55555
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mac_od.jpg
macula. od202 visualizado (s)coalescing exudates 00000
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3__periph_od_1.jpg
periphery 1. od 182 visualizado (s)quiescient/infarcted macroaneurysm00000
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4__peiph_os_2.jpg
periphery 2. od163 visualizado (s)leaking miliary aneurysms00000
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5__periph_od_3.jpg
periphery 3. od172 visualizado (s)leaking miliary aneurysms00000
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6__montage_os.jpg
montage. os153 visualizado (s)no disease00000
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7__oct_com_od.jpg
oct fovea. od133 visualizado (s)00000
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8__oct_sup_mac_od_1.jpg
oct superior macula 1. od115 visualizado (s)00000
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9__oct_sup_mac_2.jpg
oct superior macula 2. od136 visualizado (s)00000
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10__af_od.jpg
autofluorescence. od101 visualizado (s)autofluorescence helps localize the subretiinal fluid00000
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11__55d_fa_od_mid.jpg
55 degree fa mid. od121 visualizado (s)similar photo to autofluorescence00000
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12__wa_fa_od_mid.jpg
wide angle fa mid. od126 visualizado (s)leaking, abnormal vessels00000
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13__wa_fa_od_late.jpg
wide angle fa late. od140 visualizado (s)leaking vessels00000
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~13 year old boy. decreased vision symptoms od starting 5 yrs prior, child didnt tell anyone about the symptoms for at least first year. h/o laser by outside eye md. this is a historical case from memory, ?ntravitreat anti-VEGF/ and steroids. complains vision slowly declining, but adsds vision not useful for several years. comes in to get a second opinion. exam od: vision ~20/400, dx: coats with leaking miliary aneurysms. scheduled for laser of angiographically leaking aneurysms, particularly in the supratemporal quadrant