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Unknown General 19ccede5

A 3 year old male presents with a sudden onset visual loss in left eye. Ophthalmological examination reveals strabismus and white pupillary reflex. Fundus finding is shown below.What is your diagnosis?

A
Retinoblastoma
B
Sickle cell retinopathy
C
Toxoplasmosis
D
Coats disease
High-Yield Explanation
The clinical history along with fundus finding of telangiectatic vessels and hard exudates points towards a diagnosis of Coats disease. Coats disease Idiopathic non-hereditary,retinal telangiectasia. Age group-1st decade of life (average 5 years) Clinical features-Unilateral visual loss,strabismus,leukokoria. It is characterised by retinal angiomas and massive subretinal exudation from the angiomas.This exudation produces retinal detachment.Cataract and angle closure glaucoma may also occur in late stages.

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