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Berger's space hemorrhage missing the visual axis

Published:March 20, 2020DOI:https://doi.org/10.1016/j.jcjo.2020.01.011
      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 1
      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.
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