RETINAL FOLDS IN TERSON SYNDROME

Background: Perimacular retinal folds have been reported in the shaken baby syndrome, but have not been described in adults with Terson synd rome. Methods: The authors present two patients with perimacular retin al folds in adults with Terson syndrome. In one patient, electron micr oscopy was used to examine the membrane spanning the fold. Results: Th e membrane spanning the perimacular fold was found to bq internal limi ting membrane. The pathogenesis of these perimacular folds found in ad ults sustaining direct head trauma is probably different from that pre viously described for folds seen in infant eyes with shaken baby syndr ome. Conclusion: Retinal folds occurring in Terson syndrome are clinic ally similar to those seen in the shaken baby syndrome.