Nerve Fiber Layer Schisis in Coats Disease

PURPOSE: The aim of the study was to describe two cases of pediatric patients with Coats disease who developed nerve fiber layer schisis. METHODS: This was an observational case series. RESULTS: Two male pediatric patients, ages 2 and 14 years, who were being treated for Coats disease were found to have nerve fiber layer schisis on optical coherence tomography. Both were treated with panretinal photocoagulation and indirect laser. The 14-year-old patient has had recurrent disease with a most recent visual acuity of 20/80 + 1 in the affected eye. The 2-year-old patient continues to be followed after receiving two rounds of panretinal photocoagulation, followed by two rounds of superotemporal laser. CONCLUSION: Nerve fiber layer schisis is a rare manifestation of Coats disease.