Full-thickness macular hole and macular telangiectasia in a child with Coats' disease.

A 9-year-old boy presented with a 6-month history of decreased vision in his left eye. The patient's retinal examination was significant for telangiectatic vessels involving the posterior pole and the superior and inferior post-equatorial regions, circinate intraretinal exudation at the macula, and a full-thickness macular hole that was confirmed by optical coherence tomography. Chronic exudation from the anomalous vessels may be involved in the pathogenesis. Full-thickness macular hole formation may occur in conjunction with Coats' disease in children, which has not been reported to date, to the best of the authors' knowledge. Copyright 2010, SLACK Incorporated.