A 12-year-old boy who had stage 3a Coats' disease and a history of a severe visual decline in OD was referred to us for treatment. On examination, visual acuity was counting fingers at 2 m in OD and 10/10 in OS. The anterior segment was unremarkable, with normal intraocular pressure in both eyes. While the left fundus was normal, there was considerable exudation involving the posterior pole, almost forming a macular plug and a slight epiretinal membrane in OD (fig. 1a). Extensive peripheral retinal vascular telangiectasia was also evident. Fluorescein angiography demonstrated wide areas of peripheral nonperfusion and dilated vessels of the lightbulb hyperfluorescence type (fig. 1b). In addition to two sessions of indirect laser photocoagulation 3 months apart, five consecutive monthly 0.05-mg ranibizumab injections were given under general anesthesia at each occasion. As the visual prognosis seemed poor due to submacular exudate plaque, we decided to inject an Ozurdex implant and discussed this option with the family. Upon acceptance of the patient's family, an intravitreal Ozurdex injection was carried out under general anesthesia without any complication (fig. 2a). A temporary rise in intraocular pressure reaching a level of 32 mm Hg was noted 5 weeks after the injection, which was successfully managed with an antiglaucomatous medication. One year after the Ozurdex injection, visual acuity was counting fingers at 2 m due to fibrotic macular scarring, and intraocular pressure was normal (fig. 2b).