Fig. 6

Case 6. Fovea-involving peripheral Coats disease in a 39-year-old woman who slept in the nasal-down position with a flat pillow (inset 1). A A color fundus image obtained when the visual acuity (VA) was 20/30 shows inferotemporal peripheral exudative retinal vascular abnormalities and an exudative retinal detachment affecting the fovea. B Three months after laser and sub-Tenon triamcinolone and aflibercept treatments, the VA decreased to 20/60 with pooling of concentrated exudates in the fovea. C, D One and 2 months after the patient adjusted the sleep position to a lateral-down high position and the head of the bed was raised (inset 2), progressive resolution of the foveal and inferior retinal exudation, respectively, is seen. The VA returned to 20/20