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OPHTHALMIC IMAGE
Year : 2020  |  Volume : 68  |  Issue : 10  |  Page : 2267

Photoreceptor damage following long-standing premacular hemorrhage in Terson syndrome


Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India

Date of Web Publication23-Sep-2020

Correspondence Address:
Dr. Vinod Kumar
Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_405_20

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How to cite this article:
Kittur A, Daga J, Surve A, Kumar V. Photoreceptor damage following long-standing premacular hemorrhage in Terson syndrome. Indian J Ophthalmol 2020;68:2267

How to cite this URL:
Kittur A, Daga J, Surve A, Kumar V. Photoreceptor damage following long-standing premacular hemorrhage in Terson syndrome. Indian J Ophthalmol [serial online] 2020 [cited 2020 Oct 20];68:2267. Available from: https://www.ijo.in/text.asp?2020/68/10/2267/295740



A 16-year-old male underwent 25 guage vitrectomy for nonresolving premacular hemorrhage due to Terson syndrome. After clearing vitreous hemorrhage, a premacular cavity was noticed with altered blood only at its superior and inferior edge. Brilliant blue assisted internal limiting membrane (ILM) peeling was done and residual blood was aspirated. At 4 weeks, fundus showed two bands at the site of the edge of the previous premacular cavity [Figure 1]a. Autofluorescence showed these bands as hypoautofluorescent with hyperautofluorescent borders [Figure 1]b. Optical coherence tomography (OCT) showed attenuation of the ellipsoid zone corresponding to the area of these dark bands [Figure 1]c.
Figure 1: Postoperative fundus image showing two dark curvilinear bands at the site of the edge of the previous premacular cavity (a). Blue arrow shows the direction of the OCT scan. Autofluorescence showing two hypoautofluorescent curvilinear bands with hyperautofluorescent borders (b). Postoperative OCT showing attenuation of ellipsoid zone (EZ) corresponding to the dark bands seen on color photo (yellow arrows, c)

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This report highlights the deleterious side effects of long-standing sub-ILM hemorrhage on the underlying retina and retinal pigment epithelium.[1]

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Kumar V. Optical coherence tomography changes following vitrectomy for long standing premacular hemorrhage in Valsalva retinopathy. Int J Ophthalmol 2017;10:1779-82.  Back to cited text no. 1
    


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