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Correspondence to Harald Gjerde, MD, Department of Ophthalmology and Visual Sciences, Dalhousie University, 1276 South Park Street, 2035-2 West Victoria Building, Halifax, N.S. B3H 2Y9
A 30 year-old female was hit in the left eye with a toy, resulting in a hyphema. Blood
was noticed to be trapped in Berger's space (potential space between the lens and
vitreous) as the hyphema cleared (Fig. 1). Surprisingly, the visual axis was spared despite the boat-shaped hemorrhages seen
on retroillumination, and vision had improved from 20/150 to 20/25. No retinal tears
nor detachments were found. Berger's space blood is considered to be a type of vitreous
hemorrhage. With a clear traumatic cause and symptom improvement, this patient was
observed. Two weeks after presentation, vision returned to 20/20, but the retrolental
blood remained static. Unfortunately, the patient was lost to follow-up before full
resolution.
Fig. 1Boat-shaped hemorrhages in Berger's space (retrolental space of Erggelet) after blunt
trauma. The visual axis is spared. Slit-lamp photograph taken with Haag-Streit Slit
Lamp BX 900 using retroillumination.