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.
Highlights
A 12-year-old boy with a family history of X-linked retinitis pigmentosa (XLRP) presented with nyctalopia, restricted peripheral vision and difficulties at school
Cystoid macular oedema was detected with yellowish exudation and telangectasia in the inferior retina (Figures 1 and 2)
The patient was initially managed with oral Diamox (250 mg SR bd), ; cystoid macular oedema did not improve
Summary
A 12-year-old boy with a family history of X-linked retinitis pigmentosa (XLRP) presented with nyctalopia, restricted peripheral vision and difficulties at school. There were no other significant medical abnormalities; there was a known family history of X-linked retinitis pigmentosa. Best corrected visual acuity was 6/18+1 in each eye. There was bone spicule pigmentation in the peripheral retina of both eyes.
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