Li AS, et al. - The long-term therapeutic outcomes of total exudative retinal detachments (ERDs) secondary to Coats disease (stage 3B) and the role of vitrectomy were comprehensively contemplated by the researchers in patients with Stage 3B Coats disease. In maximum patients, ablative therapy with a combination of pars plana vitrectomy (PPV), external drainage of subretinal fluid (XD) or scleral buckling was effective in preventing progression to neovascular glaucoma or phthisis, thereby preserving the globe. Late-onset traction retinal detachment (TRD) was found in half of the patients (4/8) who did not undergo PPV in the early vitrectomy group. Hence, a possible role of early prophylactic vitrectomy was brought to light with possible traction retinal detachment and XD, which was, nevertheless, balanced by the other half (4/8) in the expectant management group who did not require any vitrectomy.