The management of "coats' response" in a patient with x-linked retinitis pigmentosa-a case report.

ISRN Surg

Royal Preston Hospital, Sharoe Green Lane North, Fulwood, Preston, Lancashire PR29HT, UK.

Published: November 2011

The management of exudative retinal detachment in Coats disease can be very difficult with variable results. A case is presented of a 12 year old boy who was diagnosed with X-linked retinitis pigmentosa with an associated "Coat's Response". The patient had a marked reduction in his left visual acuity due to intragel and subhyaloid haemorrhage as well as exudative retinal detachment. This was managed successfully with vitrectomy and endolaser, resulting in clearance of the haemorrhage and flattening of the retina. In our experience endolaser should be considered as viable therapeutic option in the management of this condition.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3200260PMC
http://dx.doi.org/10.5402/2011/970361DOI Listing

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