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Bilateral exudative retinopathy as the initial manifestation of retinitis pigmentosa
  1. Arun D Singh1,
  2. Carol L Shields1,
  3. Jerry A Shields1,
  4. Alan Goldfeder2
  1. 1Oncology Service, Wills Eye Hospital, USA
  2. 2Thomas Jefferson University, Philadelphia and Ophthalmic Physicians, Union, New Jersey, USA
  1. Correspondence to: Arun D Singh, MD, Oncology Service, Wills Eye Hospital, 900 Walnut Street, Philadelphia, PA 19107, USA; arunsingh{at}eyetumors.com

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A Coats'-like retinopathy affects approximately 1–4% of cases of longstanding retinitis pigmentosa (RP).1,2 As a presenting sign of RP, however, Coats'-like retinopathy is extremely rare.3 We present a case of bilateral exudative retinopathy suggestive of Coats' disease in a 12 year old boy in whom investigation revealed previously undiagnosed RP.

Case report

A 12 year old male presented with a 3 week history of blurred vision in both eyes. There was no significant medical or family history. Visual acuities were 6/120 in the right eye and 6/15 in the left eye. Anterior segment …

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