s
  CHR Coats disease von Hippel-Lindau disease
Sex No sex predilection Male: female=3:1 No sex predilection
Average age at diagnosis 25 years old 10 years old 25 years old
Family history 20% No Yes
Affected eye 92% unilateral 95% unilateral 45% unilateral
Symptom Usually asymptomatic Decreased visual acuity Leukocoria Strabismus Decreased visual acuity
Fundus finding 1. Clusters of thin-walled saccular aneurysms filled with dark venous blood isolated from the vascular tree 2. White fibroglial tissue on the surface of the tumor. 1. The aneurysms  placed along retinal vessels, 2. Progressive vascular dilatation 3. Massive intraretinal and subretinal exudation 4. Subretinal fluid Progressive dilation of the afferent and efferent feeder vessels Large isolated angioma Exudation
Retinal vascular circulation Normal Aberrant arteriovenous communicating channels Abnormal feeder vessels, dilated capillary bed around the tumor
Retinal exudation Rare Common and progressive Common, may progressive
Retinal detachment Rare, proliferative Sometimes, exudative Sometimes, proliferative
FFA Plasma-erythrocytic separation; No leakage Capillary nonperfusion Leakage from the lesion Slow retinal circulation; Leakage from angioma
Progress Usually stable Progress Progress
Visual prognosis Good Poor Poor
Treatment Observation Photocoagulation Cryotherapy Photocoagulation Cryotherapy
Table 2: Differential diagnosis of CHR with Coats disease and von Hippel-Lindau disease.