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374:, this treatment is not recommended as accidental damage to the nerve itself can result in permanent blindness. Although Coats' disease tends to progress to visual loss, it may stop progressing on its own, either temporarily or permanently. Cases have been documented in which the condition even reverses itself. However, once total retinal detachment occurs, sight loss is permanent in most cases. Removal of the eye (enucleation) is an option if pain or further complications arise.
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On MRI, the subretinal exudate shows high signal intensity on both T1- and T2-weighted images. The exudate may appear heterogeneous if hemorrhage or fibrosis is present. The subretinal space does not enhance with gadolinium contrast. Mild to moderate linear enhancement may be seen between the exudate
150:(abnormal white reflection of the retina). Symptoms typically begin as blurred vision, usually pronounced when one eye is closed (due to the unilateral nature of the disease). Often the unaffected eye will compensate for the loss of vision in the other eye; however, this results in some loss of
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On CT, the globe appears hyperdense compared to normal vitreous due to the proteinaceous exudate, which may obliterate the vitreous space in advanced disease. The anterior margin of the subretinal exudate enhances with contrast. Since the retina is fixed posteriorly at the optic disc, this
269:
On funduscopic eye examination, the retinal vessels in early Coats' disease appear tortuous and dilated, mainly confined to the peripheral and temporal portions of retina. In moderate to severe Coats' disease, massive retinal detachment and hemorrhage from the abnormal vessels may be seen.
181:
is caused by a reflection off blood vessels in the back of a normal eye, an eye affected by Coats' will glow yellow in photographs as light reflects off cholesterol deposits. Children with yellow-eye in photographs are typically advised to immediately seek evaluation from an optometrist or
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Coats' usually affects only one eye (unilateral) and occurs predominantly in young males 1/100,000, with the onset of symptoms generally appearing in the first decade of life. Peak age of onset is between 6–8 years of age, but onset can range from 5 months to 71 years.
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Microscopically, the wall of retinal vessels may be thickened in some cases, while in other cases the wall may be thinned with irregular dilatation of the lumen. The subretinal exudate consists of cholesterol crystals, macrophages laden with cholesterol and pigment,
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Statland JM1, Sacconi S, Farmakidis C, Donlin-Smith CM, Chung M, Tawil R. Coats syndrome in facioscapulohumeral dystrophy type 1: frequency and D4Z4 contraction size. Neurology. 2013 Mar 26;80(13):1247-50. doi: 10.1212/WNL.0b013e3182897116. Epub 2013 Feb
158:. Deterioration of sight may begin in either the central or peripheral vision. Deterioration is likely to begin in the upper part of the vision field as this corresponds with the bottom of the eye where blood usually pools. Flashes of light, known as
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Coats' disease results in a gradual loss of vision. Blood leaks from the abnormal vessels into the back of the eye, leaving behind cholesterol deposits and damaging the retina. Coats' disease normally progresses slowly. At advanced stages,
528:
GlasierCM, Brodsky MC, Leithiser RE Jr, Williamson SL, Seibert JJ. High resolution ultrasound with
Doppler: a diagnostic adjunct in orbital and ocular lesions in children. Pediatr Radiol 1992; 22(3): 174–178.
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Chung EM, Specht CS, Schroeder JW. Pediatric Orbit Tumors and
Turmorlike Lesions: Neuroepthelial Lesions of the Ocular Globe and Optic Nerve. Radiographics. 2007 Jul-Aug;27(4):1159-86.
302:. On ultrasound, Coats' disease appears as a hyperechoic mass in the posterior vitreous without posterior acoustic shadowing; vitreous and subretinal hemorrhage may often be observed.
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EdwardDP, Mafee MF, Garcia-Valenzuela E, Weiss RA. Coats' disease and persistent hyperplastic primary vitreous: role of MR imaging and CT. Radiol Clin North Am 1998; 36(6): 1119–1131.
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KremerI, Nissenkorn I, Ben-Sira I. Cytologic and biochemical examination of the subretinal fluid in diagnosis of Coats' disease. Acta
Ophthalmol (Copenh) 1989; 67(3): 342–346.
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Coats' disease itself is painless. Pain may occur if fluid is unable to drain from the eye properly, causing the internal pressure to swell, resulting in painful glaucoma.
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FernandesBF, Odashiro AN, Maloney S, Zajdenweber ME, Lopes AG, Burnier MN Jr. Clinical-histopathological correlation in a case of Coats' disease. Diagn Pathol 2006; 1: 24.
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370:(freezing) can be used to destroy the abnormal blood vessels, thus halting progression of the disease. However, if the leaking blood vessels are clustered around the
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into the retina and subretinal space. Over time, the accumulation of this proteinaceous exudate thickens the retina, leading to massive, exudative retinal detachment.
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WoodsAC, Duke JR. Coats's disease. I. Review of the literature, diagnostic criteria, clinical findings, and plasma lipid studies. Br J Ophthalmol 1963; 47: 385–412.
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BerrocalT, de Orbe A, Prieto C, et al. US and color
Doppler imaging of ocular and orbital disease in the pediatric age group. RadioGraphics 1996; 16(2): 251–272.
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A case of Coats' disease, showing total retinal detachment with subretinal exudate containing cholesterol crystals and a fibrous nodule in the posterior pole
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ChangMM, McLean IW, Merritt JC. Coats' disease: a study of 62 histologically confirmed cases. J Pediatr
Ophthalmol Strabismus 1984; 21(5): 163–168.
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EisenbergL, Castillo M, Kwock L, Mukherji SK, Wallace DK. Proton MR spectroscopy in Coats disease. AJNR Am J Neuroradiol 1997; 18(4): 727–729.
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are common symptoms. Persistent color patterns may also be perceived in the affected eye. Initially, these may be mistaken for psychological
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A case of Coats' disease, showing total exudative retinal detachment, and subretinal exudate containing cholesterol crystals (H&E)
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Shields CL, Uysal Y, Benevides R, Eagle RC, Malloy B, Shields JA (2006). "Retinoblastoma in an eye with features of Coats' disease".
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G. Coats. Forms of retinal disease with massive exudation. Royal London
Ophthalmic Hospital Reports, 1908, 17, 3: 440-525.
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Computed
Tomography image of a patient with Coats' disease, showing total exudative retinal detachment in the right eye
233:(FSHD). A single study reported it in 1 percent of FSHD patients, most often those with FSHD type 1 (FSHD1) with large
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350:. A granulomatous reaction, induced by the exudate, may be seen with the retina. Portions of the retina may develop
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Grossly, retinal detachment and yellowish subretinal exudate containing cholesterol crystals are commonly seen.
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A young child with the yellow eye of Coats' disease - still in an early stage. Only visible with a flash camera.
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ShieldsJA, Shields CL. Review: Coats disease—the 2001 LuEsther T. Mertz lecture. Retina 2002; 22(1): 80–91.
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ophthalmologist, who will assess and diagnose the condition and refer to a vitreo-retinal specialist.
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can also develop secondary to Coats' disease. In some cases, removal of the eye may be necessary (
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and foreign fluids mechanically interacting with the photoreceptors located on the retina.
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One early warning sign of Coats' disease is yellow-eye in flash photography. Just as the
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and the remaining vitreous. The exudate shows a large peak at 1–1.6 ppm on
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is a rare congenital, nonhereditary eye disorder, causing full or partial
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30:"Yellow eye" redirects here. For the military science fiction novel, see
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Clinical photography of patient with Coats' disease, showing
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Coats' disease is thought to result from breakdown of the
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In the early stages, there are a few treatment options.
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Coats' disease is a rare extramuscular manifestation of
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Human eye disease causing full or partial blindness
1740:arteritic anterior (AAION or arteritic AION)
720:http://www.orpha.net/data/patho/GB/uk-Coats.pdf
131:. Coats' disease can also fall under glaucoma.
134:It can have a similar presentation to that of
747:
8:
1814:Chronic progressive external ophthalmoplegia
417:Coats' disease is named after George Coats.
1142:Thygeson's superficial punctate keratopathy
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306:enhancement has a V-shaped configuration.
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146:The most common sign at presentation is
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231:facioscapulohumeral muscular dystrophy
170:, but are actually the result of both
7:
1622:Familial exudative vitreoretinopathy
1745:non-arteritic anterior (NAION)
1582:Leber's hereditary optic neuropathy
1617:Persistent tunica vasculosa lentis
25:
1345:Polypoidal choroidal vasculopathy
1450:Central retinal artery occlusion
385:
2300:Disorders of choroid and retina
1455:Branch retinal artery occlusion
1184:Terrien's marginal degeneration
437:J Pediatr Ophthalmol Strabismus
1485:Bietti's crystalline dystrophy
1445:Central retinal vein occlusion
1174:Pellucid marginal degeneration
1:
1538:Vitelliform macular dystrophy
1429:Posterior vitreous detachment
1295:Persistent pupillary membrane
2025:Leber's congenital amaurosis
1936:Internuclear ophthalmoplegia
1627:Vogt-Koyanagi-Harada disease
1612:Persistent fetal vasculature
1543:Leber's congenital amaurosis
824:Meibomian gland dysfunction
2316:
1548:Birdshot chorioretinopathy
1522:Central serous retinopathy
1340:Focal choroidal excavation
1213:Corneal neovascularization
1030:Subconjunctival hemorrhage
296:Magnetic Resonance Imaging
29:
2260:
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2015:
1931:Convergence insufficiency
1804:
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1572:Primary juvenile glaucoma
1417:Cytomegalovirus retinitis
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766:Diseases of the human eye
354:as a response to injury.
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69:
1441:Ocular ischemic syndrome
286:Imaging studies such as
1941:One and a half syndrome
1695:Foster Kennedy syndrome
292:Computerized Tomography
2180:Argyll Robertson pupil
980:Periorbital cellulitis
338:
327:
312:proton MR spectroscopy
283:
190:
81:conjunctival hyperemia
60:Retinal telangiectasis
2153:Scintillating scotoma
1819:Kearns–Sayre syndrome
1762:Toxic and nutritional
1735:posterior (PION)
1218:Kayser–Fleischer ring
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247:blood-retinal barrier
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34:. For the plant, see
1926:Conjugate gaze palsy
1797:Paralytic strabismus
1730:anterior (AION)
1512:Retinitis pigmentosa
1507:Macular degeneration
1280:Intermediate uveitis
1196:Keratoconjunctivitis
255:cholesterol crystals
210:is likely to occur.
36:Lupinus flavoculatus
2231:Childhood blindness
2210:Parinaud's syndrome
1780:Extraocular muscles
1568:Ocular hypertension
1532:Epiretinal membrane
1517:Retinal haemorrhage
1372:Congenital cataract
318:Pathologic findings
56:Exudative retinitis
1757:Leber's hereditary
1424:Retinal detachment
1377:Childhood cataract
1189:Post-LASIK ectasia
970:Orbital cellulitis
919:Lacrimal apparatus
725:2021-12-30 at the
687:External resources
397:. You can help by
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208:retinal detachment
191:
172:retinal detachment
142:Signs and symptoms
85:mild corneal edema
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1707:Optic disc drusen
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251:endothelial cells
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16:(Redirected from
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2004:Vision disorders
1963:Refractive error
1905:Brown's syndrome
1861:Other strabismus
1847:Sixth-nerve (VI)
1837:Oculomotor (III)
1809:Ophthalmoparesis
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1784:Binocular vision
1717:Optic neuropathy
1683:optic papillitis
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1534:(Macular pucker)
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852:Blepharochalasis
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257:and lipid-laden
152:depth perception
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1412:Chorioretinitis
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1290:Rubeosis iridis
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1208:Corneal opacity
1164:Corneal ectasia
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908:
907:
902:
897:
892:
886:
884:
878:
877:
875:
874:
869:
864:
859:
854:
849:
844:
839:
833:
830:
829:
827:
826:
821:
816:
811:
805:
803:
796:
786:
785:
780:
773:
772:
769:
768:
762:
761:
759:
758:
751:
744:
736:
730:
729:
717:
708:
707:
704:
703:
691:
690:
688:
684:
683:
680:
679:
668:
657:
646:
631:
615:
610:
609:
607:
606:Classification
599:
598:External links
596:
593:
592:
583:
566:
557:
548:
539:
530:
521:
512:
503:
494:
484:
475:
455:
425:
424:
422:
419:
413:
412:
406:September 2024
392:
390:
379:
376:
359:
356:
319:
316:
298:(MRI) can aid
275:
272:
266:
263:
242:
239:
235:D4Z4 deletions
198:
195:
179:red-eye effect
168:hallucinations
143:
140:
136:retinoblastoma
121:Coats' disease
116:
115:
102:
96:
95:
76:
75:
67:
66:
53:
49:
48:
47:Coats' disease
40:
26:
24:
14:
13:
10:
9:
6:
4:
3:
2:
2312:
2301:
2298:
2296:
2293:
2292:
2290:
2271:
2268:
2266:
2263:
2262:
2259:
2255:
2250:
2246:
2232:
2229:
2227:
2224:
2223:
2221:
2217:
2211:
2208:
2206:
2203:
2201:
2198:
2196:
2193:
2191:
2190:Adie syndrome
2188:
2186:
2183:
2181:
2178:
2176:
2173:
2172:
2170:
2168:
2164:
2154:
2151:
2149:
2146:
2144:
2141:
2139:
2136:
2135:
2133:
2129:
2123:
2120:
2116:
2113:
2111:
2108:
2106:
2103:
2102:
2101:
2098:
2097:
2095:
2093:
2089:
2083:
2079:
2075:
2072:
2068:
2065:
2064:
2063:
2060:
2056:
2053:
2051:
2048:
2046:
2045:Achromatopsia
2043:
2042:
2041:
2038:
2036:
2033:
2031:
2028:
2026:
2023:
2021:
2018:
2017:
2014:
2011:
2009:
2005:
2001:
1995:
1992:
1990:
1986:
1985:Anisometropia
1983:
1981:
1978:
1974:
1971:
1969:
1966:
1965:
1964:
1961:
1960:
1958:
1956:
1952:
1942:
1939:
1937:
1934:
1932:
1929:
1927:
1924:
1923:
1921:
1917:
1911:
1908:
1906:
1903:
1901:
1898:
1894:
1891:
1889:
1886:
1885:
1884:
1881:
1879:
1876:
1874:
1870:
1867:
1866:
1864:
1862:
1858:
1848:
1845:
1843:
1840:
1838:
1835:
1834:
1832:
1830:
1826:
1820:
1817:
1815:
1812:
1810:
1807:
1806:
1803:
1800:
1798:
1794:
1791:
1789:
1788:Accommodation
1785:
1781:
1777:
1773:
1763:
1760:
1758:
1755:
1753:
1750:
1746:
1743:
1741:
1738:
1736:
1733:
1731:
1728:
1727:
1726:
1723:
1722:
1720:
1718:
1714:
1708:
1705:
1703:
1702:Optic atrophy
1700:
1696:
1693:
1692:
1691:
1688:
1684:
1681:
1680:
1679:
1676:
1675:
1672:
1669:
1667:
1663:
1659:
1655:
1651:
1646:
1642:
1628:
1625:
1623:
1620:
1618:
1615:
1613:
1610:
1608:
1605:
1603:
1602:Keratomycosis
1600:
1598:
1597:Globe rupture
1595:
1593:
1590:
1588:
1585:
1583:
1580:
1578:
1575:
1573:
1569:
1565:
1562:
1561:
1559:
1555:
1549:
1546:
1544:
1541:
1539:
1536:
1533:
1530:
1528:
1527:Macular edema
1525:
1523:
1520:
1518:
1515:
1513:
1510:
1508:
1505:
1501:
1498:
1496:
1493:
1491:
1488:
1486:
1483:
1481:
1478:
1476:
1473:
1471:
1468:
1466:
1463:
1462:
1461:
1458:
1456:
1453:
1451:
1448:
1446:
1442:
1439:
1437:
1436:Retinoschisis
1434:
1430:
1427:
1426:
1425:
1422:
1418:
1415:
1413:
1410:
1409:
1408:
1405:
1404:
1402:
1400:
1396:
1390:
1387:
1385:
1382:
1378:
1375:
1373:
1370:
1369:
1368:
1365:
1364:
1362:
1360:
1356:
1346:
1343:
1341:
1338:
1334:
1331:
1330:
1329:
1326:
1324:
1323:Choroideremia
1321:
1320:
1318:
1316:
1312:
1306:
1303:
1301:
1300:Iridodialysis
1298:
1296:
1293:
1291:
1288:
1286:
1283:
1281:
1278:
1276:
1273:
1272:
1270:
1265:
1262:
1260:
1257:
1256:
1253:
1250:
1248:
1244:
1234:
1231:
1229:
1228:Arcus senilis
1226:
1224:
1223:Haab's striae
1221:
1219:
1216:
1214:
1211:
1209:
1206:
1202:
1199:
1198:
1197:
1194:
1190:
1187:
1185:
1182:
1180:
1177:
1175:
1172:
1170:
1167:
1166:
1165:
1162:
1158:
1155:
1153:
1150:
1149:
1148:
1145:
1143:
1140:
1138:
1137:Corneal ulcer
1135:
1131:
1128:
1126:
1123:
1121:
1118:
1116:
1115:acanthamoebic
1113:
1111:
1108:
1107:
1106:
1103:
1102:
1100:
1098:
1094:
1088:
1085:
1083:
1080:
1079:
1077:
1075:
1071:
1068:
1066:
1065:Fibrous tunic
1062:
1058:
1054:
1049:
1045:
1031:
1028:
1026:
1023:
1021:
1018:
1016:
1013:
1009:
1006:
1005:
1004:
1001:
999:
996:
995:
993:
991:
987:
981:
978:
976:
973:
971:
968:
966:
963:
961:
958:
957:
955:
953:
949:
943:
942:Xerophthalmia
940:
938:
935:
933:
930:
928:
925:
924:
922:
920:
916:
906:
903:
901:
898:
896:
893:
891:
888:
887:
885:
883:
879:
873:
870:
868:
865:
863:
860:
858:
855:
853:
850:
848:
847:Lagophthalmos
845:
843:
840:
838:
835:
834:
831:
825:
822:
820:
817:
815:
812:
810:
807:
806:
804:
800:
797:
795:
791:
787:
783:
778:
774:
767:
764:
763:
757:
752:
750:
745:
743:
738:
737:
734:
728:
724:
721:
718:
716:
713:
712:
702:
698:
697:
693:
692:
689:
685:
678:
674:
673:
669:
667:
663:
662:
658:
656:
652:
651:
647:
645:
641:
640:
636:
632:
630:
626:
625:
621:
617:
616:
613:
608:
604:
597:
587:
584:
581:
580:Who Named It?
577:
576:
570:
567:
561:
558:
552:
549:
543:
540:
534:
531:
525:
522:
516:
513:
507:
504:
498:
495:
488:
485:
479:
476:
470:
468:
466:
464:
462:
460:
456:
451:
447:
443:
439:
438:
430:
427:
420:
418:
409:
400:
396:
393:This section
391:
388:
384:
383:
377:
375:
373:
369:
365:
364:Laser surgery
357:
355:
353:
349:
345:
335:
331:
324:
317:
315:
313:
307:
303:
301:
297:
293:
289:
280:
273:
271:
264:
262:
260:
256:
252:
248:
240:
238:
236:
232:
227:
225:
221:
217:
213:
209:
203:
196:
194:
187:
183:
180:
175:
173:
169:
165:
161:
157:
153:
149:
141:
139:
137:
132:
130:
126:
122:
112:
106:
105:Ophthalmology
103:
101:
97:
94:
90:
86:
82:
77:
73:
68:
65:
61:
57:
54:
50:
45:
37:
33:
19:
2080: /
2076: /
2055:Monochromacy
1987: /
1883:Heterophoria
1871: /
1570: /
1566: /
1489:
1470:hypertensive
1443: /
1264:Ciliary body
1179:Keratoglobus
1087:Episcleritis
965:Enophthalmos
960:Exophthalmos
905:Trichomegaly
900:Distichiasis
802:Inflammation
694:
670:
659:
648:
633:
618:
586:
573:
569:
560:
551:
542:
533:
524:
515:
506:
497:
487:
478:
444:(5): 313–5.
441:
435:
429:
416:
403:
399:adding to it
394:
361:
344:erythrocytes
340:
329:
308:
304:
285:
268:
244:
241:Pathogenesis
228:
204:
200:
197:Presentation
192:
176:
145:
133:
120:
119:
87:, posterior
63:
59:
55:
2205:Cycloplegia
2148:Photophobia
2143:Hemeralopia
2100:Hemianopsia
2078:Vision loss
1989:Aniseikonia
1980:Astigmatism
1900:Cyclotropia
1878:Hypertropia
1690:Papilledema
1662:Optic nerve
1495:Sickle cell
1475:Purtscher's
1460:Retinopathy
1328:Choroiditis
1169:Keratoconus
990:Conjunctiva
867:Xanthelasma
819:Blepharitis
372:optic nerve
368:cryotherapy
348:hemosiderin
259:macrophages
224:enucleation
52:Other names
32:Yellow Eyes
2289:Categories
2254:Infections
2175:Anisocoria
2138:Asthenopia
2131:subjective
2115:homonymous
2110:bitemporal
2062:Nyctalopia
2050:Dichromacy
1994:Presbyopia
1955:Refraction
1776:Strabismus
1666:Optic disc
1025:Pinguecula
890:Trichiasis
672:DiseasesDB
421:References
148:leukocoria
18:Yellow eye
2295:Blindness
2226:Nystagmus
2200:Mydriasis
2074:Blindness
2020:Amblyopia
2008:Blindness
1968:Hyperopia
1893:Exophoria
1888:Esophoria
1873:Exotropia
1869:Esotropia
1407:Retinitis
1105:Keratitis
1082:Scleritis
1015:Pterygium
895:Madarosis
842:Ectropion
837:Entropion
814:Chalazion
575:synd/2146
358:Treatment
300:diagnosis
294:(CT) and
265:Diagnosis
220:cataracts
160:photopsia
125:blindness
100:Specialty
89:synechiae
2265:Trachoma
2030:Diplopia
1725:Ischemic
1650:Pathways
1564:Glaucoma
1465:diabetic
1367:Cataract
1305:Synechia
1157:Meesmann
1125:Exposure
1110:herpetic
1008:allergic
998:Chemosis
932:Epiphora
723:Archived
696:Orphanet
450:17022167
212:Glaucoma
164:floaters
156:parallax
93:cataract
2105:binasal
2092:Anopsia
2035:Scotoma
1829:palsies
1592:Red eye
1577:Floater
1384:Aphakia
1315:Choroid
1285:Hyphema
1275:Uveitis
882:Eyelash
666:D058456
378:History
352:gliosis
249:in the
216:atrophy
2195:Miosis
1973:Myopia
1752:Kjer's
1500:photic
1399:Retina
1152:Fuchs'
1120:fungal
1097:Cornea
1074:Sclera
857:Ptosis
794:Eyelid
782:Adnexa
655:300216
644:362.12
448:
346:, and
290:(US),
218:, and
162:, and
129:retina
107:
2219:Other
2167:Pupil
1557:Other
1201:sicca
1053:Globe
952:Orbit
677:31162
629:H35.0
1359:Lens
1259:Iris
809:Stye
661:MeSH
650:OMIM
639:9-CM
446:PMID
154:and
91:and
701:190
635:ICD
620:ICD
578:at
492:27.
401:.
366:or
226:).
2291::
699::
675::
664::
653::
642::
627::
624:10
458:^
442:43
440:.
314:.
237:.
214:,
138:.
83:,
62:,
58:,
755:e
748:t
741:v
637:-
622:-
612:D
452:.
408:)
404:(
38:.
20:)
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