Bilateral Subinternal Limiting Membrane Crystalline Deposits Secondary to Terson Syndrome
Background. We report the case of bilateral, subinternal limiting membrane crystalline deposits in a patient with Terson syndrome, describe the possible pathogenesis, and highlight management. Case Presentation. A 24-year-old male with a history of traumatic massive parenchymal and subdural frontal...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Hindawi Limited
2024-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2024/8225960 |
| _version_ | 1797347268994531328 |
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| author | Anfisa Ayalon Eran Greenbaum Lily Okrent Smolar Alexander Rubowitz |
| author_facet | Anfisa Ayalon Eran Greenbaum Lily Okrent Smolar Alexander Rubowitz |
| author_sort | Anfisa Ayalon |
| collection | DOAJ |
| description | Background. We report the case of bilateral, subinternal limiting membrane crystalline deposits in a patient with Terson syndrome, describe the possible pathogenesis, and highlight management. Case Presentation. A 24-year-old male with a history of traumatic massive parenchymal and subdural frontal hemorrhage presented to our clinic seven months after a motor vehicle accident, prolonged hospitalization, and rehabilitation, complaining of decreased vision in both eyes. The Snellen visual acuity was 1/60 in the right eye, and 6/60 in the left eye. Fundus examination showed an organized white vitreous hemorrhage in both eyes with almost no view of the retina. The anterior segments were normal. He underwent a 25-gauge pars plana vitrectomy in both eyes. During the surgery, golden crescent-shaped sediment consisting of small crystals was observed under the internal limiting membrane in both eyes: anterior to the inferior temporal vascular arcade in the right eye and posterior to it in the left eye. Internal limiting membrane (ILM) peeling after staining with ILM-blue dye was performed in the left eye, where the finding involved the macula. One year after the surgery, visual acuity significantly improved to 6/8.5 on the right and 6/6 on the left. Epiretinal membrane formation was observed in the right eye, where ILM peeling was not performed. Conclusion. Subinternal limiting membrane crystalline deposit finding is a rare condition. Consider performing internal limiting membrane peeling and sediment removal in cases with macular involvement. In cases where crystals are concentrated outside of the macula, follow-up may be considered. |
| first_indexed | 2024-03-08T11:45:18Z |
| format | Article |
| id | doaj.art-37df7763bc1f476ea8d7568bd77bfb8a |
| institution | Directory Open Access Journal |
| issn | 2090-6730 |
| language | English |
| last_indexed | 2024-03-08T11:45:18Z |
| publishDate | 2024-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj.art-37df7763bc1f476ea8d7568bd77bfb8a2024-01-25T00:00:02ZengHindawi LimitedCase Reports in Ophthalmological Medicine2090-67302024-01-01202410.1155/2024/8225960Bilateral Subinternal Limiting Membrane Crystalline Deposits Secondary to Terson SyndromeAnfisa Ayalon0Eran Greenbaum1Lily Okrent Smolar2Alexander Rubowitz3Department of OphthalmologyDepartment of OphthalmologyDepartment of OphthalmologyDepartment of OphthalmologyBackground. We report the case of bilateral, subinternal limiting membrane crystalline deposits in a patient with Terson syndrome, describe the possible pathogenesis, and highlight management. Case Presentation. A 24-year-old male with a history of traumatic massive parenchymal and subdural frontal hemorrhage presented to our clinic seven months after a motor vehicle accident, prolonged hospitalization, and rehabilitation, complaining of decreased vision in both eyes. The Snellen visual acuity was 1/60 in the right eye, and 6/60 in the left eye. Fundus examination showed an organized white vitreous hemorrhage in both eyes with almost no view of the retina. The anterior segments were normal. He underwent a 25-gauge pars plana vitrectomy in both eyes. During the surgery, golden crescent-shaped sediment consisting of small crystals was observed under the internal limiting membrane in both eyes: anterior to the inferior temporal vascular arcade in the right eye and posterior to it in the left eye. Internal limiting membrane (ILM) peeling after staining with ILM-blue dye was performed in the left eye, where the finding involved the macula. One year after the surgery, visual acuity significantly improved to 6/8.5 on the right and 6/6 on the left. Epiretinal membrane formation was observed in the right eye, where ILM peeling was not performed. Conclusion. Subinternal limiting membrane crystalline deposit finding is a rare condition. Consider performing internal limiting membrane peeling and sediment removal in cases with macular involvement. In cases where crystals are concentrated outside of the macula, follow-up may be considered.http://dx.doi.org/10.1155/2024/8225960 |
| spellingShingle | Anfisa Ayalon Eran Greenbaum Lily Okrent Smolar Alexander Rubowitz Bilateral Subinternal Limiting Membrane Crystalline Deposits Secondary to Terson Syndrome Case Reports in Ophthalmological Medicine |
| title | Bilateral Subinternal Limiting Membrane Crystalline Deposits Secondary to Terson Syndrome |
| title_full | Bilateral Subinternal Limiting Membrane Crystalline Deposits Secondary to Terson Syndrome |
| title_fullStr | Bilateral Subinternal Limiting Membrane Crystalline Deposits Secondary to Terson Syndrome |
| title_full_unstemmed | Bilateral Subinternal Limiting Membrane Crystalline Deposits Secondary to Terson Syndrome |
| title_short | Bilateral Subinternal Limiting Membrane Crystalline Deposits Secondary to Terson Syndrome |
| title_sort | bilateral subinternal limiting membrane crystalline deposits secondary to terson syndrome |
| url | http://dx.doi.org/10.1155/2024/8225960 |
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