title: Uveal Melanoma Mimicking Advanced Coats' Disease in a Young Patient.
abstract: OBJECTIVE
  To report a case and the unique histopathology of a necrotic uveal melanoma mimicking advanced Coats' disease in a young adult.
  
  
  METHODS
  A 26-year-old male presented with a blind, painful eye, total exudative retinal detachment, and bulbous aneurysms consistent with Coats' disease. No masses were visualized on ultrasound or CT scan, and the patient underwent enucleation of the eye.
  
  
  RESULTS
  Histopathology of the involved eye confirmed a necrotic uveal melanoma with persistent spindle cells forming a collar around residual tumor vessels.
  
  
  CONCLUSIONS
  Careful consideration is needed in approaching any patient with a blind, painful eye and opaque media, even in younger populations.
authors.affiliation: Havener Eye Institute, Department of Ophthalmology and Visual Science, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
authors.forename: Naina
authors.initials: N
authors.lastname: Gupta
authors.affiliation: Havener Eye Institute, Department of Ophthalmology and Visual Science, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
authors.forename: William
authors.initials: W
authors.lastname: Terrell
authors.affiliation: Havener Eye Institute, Department of Ophthalmology and Visual Science, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA; Department of Pathology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
authors.forename: Lynn
authors.initials: L
authors.lastname: Schoenfield
authors.affiliation: Department of Radiology, North Shore Long Island Jewish Health System, Hofstra Medical School, Manhasset, N.Y., USA.
authors.forename: Claudia
authors.initials: C
authors.lastname: Kirsch
authors.affiliation: Havener Eye Institute, Department of Ophthalmology and Visual Science, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
authors.forename: Colleen M
authors.initials: CM
authors.lastname: Cebulla
keywords: Coats’ disease; Necrotic choroidal melanoma; Uveal melanoma