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howing on and A 12-year-old boy presented with poor vision and abnormal eye movements in his both eyes since birth. There were no systemic complaints. The visual acuity was light perception only in both eyes. The cycloplegic refraction revealed a hypermetropia of 6 and 7 diopters in right and left eye respectively, but the correction did not improve his visual acuity. The child had pendular nystagmus; enophthalmos and oculo-digital sign were present. The pupil reacted sluggishly to light in both the eyes. A dilated fundus examination revealed bilateral optic disc pallor, pigment spicules all over the fundus and vascular attenuation. In addition the right eye (Fig. 1) showed well-defined excavated area of chorio-retinal atrophy in macula and sclerosed vessels with scattered retinal hemorrhages in the temporal fundus. The left eye showed thick glial tissue with exudation in macula (Fig. 2). An area of retinal vascular telangiectasias and subretinal exudation was noted inferiorly and temporally in left fundus. Electroretinography (ERG) showed extinguished scotopic and photopic responses. A diagnosis of Leber’s Congenital Amaurosis (LCA) with ‘‘Coats like’’ response was made. Patient was advised for regular follow-up.

Ultra wide field imaging of coats like response in Leber’s congenital amaurosis