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Unusual Coats-like response in occlusive retinal periphlebitis
Shreyas Temkar1, Amit Kumar Deb2, Hemanth Ramachandar2
1Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India shreyastemkar@gmail.com.
BMJ Case Reports
|January 28, 2025
Summary
Coats-like response, characterized by abnormal retinal vessels and exudation, can occur with other eye diseases. This case highlights successful management of Coats-like response with occlusive periphlebitis using oral steroids.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Vascular Disorders
Background:
- Coats-like response involves abnormal retinal vessels and exudation secondary to other ocular or systemic conditions.
- Previously reported in association with retinitis pigmentosa, retinal vein obstruction, and pars planitis.
Purpose of the Study:
- To report a case of Coats-like response with occlusive periphlebitis.
- To describe the diagnostic findings and successful management of this condition.
Main Methods:
- Case presentation of a male patient in his 30s with vision loss.
- Ophthalmic examination including funduscopy, fluorescein angiography, and optical coherence tomography.
- Diagnosis of Coats-like response with occlusive periphlebitis.
Main Results:
- The patient presented with diminished vision, subretinal exudation, and periphlebitis.
- Fluorescein angiography showed telangiectatic vessels, aneurysms, and perivenular leak.
- Optical coherence tomography revealed cystoid edema and subretinal fluid.
Conclusions:
- Coats-like response can present with occlusive periphlebitis.
- Successful management was achieved with oral steroids alone, indicating a potential therapeutic option.
