Table of Contents
ISRN Surgery
Volume 2011, Article ID 970361, 2 pages
http://dx.doi.org/10.5402/2011/970361
Case Report

The Management of “Coats' Response” in a Patient with X-Linked Retinitis Pigmentosa—A Case Report

1Royal Preston Hospital, Sharoe Green Lane North, Fulwood, Preston, Lancashire PR29HT, UK
2St James's University Hospital, Leeds LS97TF, UK

Received 16 February 2011; Accepted 24 March 2011

Academic Editor: C. Schmidtke

Copyright © 2011 Shveta Bansal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.