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Macular ring in a patient with Terson's syndrome
A D Sadeh1, M Lazar, A Loewenstein
1The Department of Ophthalmology, Tel-Aviv Sourasky Medical Center, and the Sackler Faculty of Medicine, Israel.
Purpose:
To report on a pigmented finding in the macula that is unique to Terson's syndrome, and was previously described only once.
Method:
A 49-year-old man underwent vitrectomy for vitreous hemorrhage due to Terson's syndrome. During surgery the retina was exposed, and a pigmentation was noticed around the macula. Follow-up of the macular finding is presented.
Results:
At surgery a pigmented "ring" encircling the macula was revealed. Two and six months later, the pigmented line was still noticed, and an epiretinal membrane appeared in the temporal macula.
Conclusion:
Terson's syndrome may be associated with a pigmented "ring" encircling the macula, a finding that may be a result of a detachment of the internal limiting membrane (ILM). The epiretinal membrane that was later noticed, might also be related to the damage to the ILM.