Surgery for stage 4 Coats Disease

This is a case of a 2 year old boy with Coats disease. Retina was totally detached causing leukocoria. External drainage through a posterior sclerotomy and re-pressuring the eye with BSS through a limbal incision resulted in repositioning of the retina backwards. Then, in this case, a lens sparing PPV was performed. It is followed by lasering of all the dilated telangiectatic vessels. Surgery was completed with FAX, cryotherapy to the temporal quadrants and intravitreal anti-vegf injection at the end.