Macular ring in a patient with Terson's syndrome

Abstract

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.