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Repeated questions regarding history and Valsalva-maneuver could not identify etiology. INR
value, determined after the onset of symptoms, did not confirm a hypercoagulable state.
Conclusions: Our case supports the hypothesis that mechanical force exerted by an extensive
sub-ILM haemorrhage may have a protective effect on macular function by translocating
submacular haemorrhage to the periphery. Nonetheless, in our case, toxic/barrier/tractional
effect of subretinal blood is suspected in the subsequent development of parafoveal outer
retinal atrophy.