Fig. 4

Reflectance and retroillumination scanning laser ophthalmoscope (SLO) as well as optical coherence tomography (OCT) images of the left retina of a 46-year-old man with Coats disease treated multiple times over a 15-year period with laser photocoagulation and intravitreal anti-VEGF therapy. A Reflectance multiwavelength SLO imaging shows a rhegmatogenous retinal detachment that extends centrally from a retinal hole in the superior-temporal mid-periphery. B Retroillumination SLO imaging with a deviated-to-the-left (DL) aperture shows widespread posterior pole retinal crinkling and cystoid changes associated with the macula-off detachment. C En face and associated B-scan OCT images display central wrinkling less prominently than in B. D OCT B-scan documenting a macula-off retinal detachment and prominent associated cystoid abnormalities