The Pearl Necklace Sign-April 2022

Thanks to everyone who showed interest in the section of question of the month and answered the question. In this month’s question, describe the OCT finding in a patient with disciform scar and cystoid macular degeneration was asked.

The answer to the question is ‘ The Pearl Necklace Sign’. The result of the lottery among those who answered the question correctly, the winner of this month’s book prize is Abdullah Ağın, MD. Congratulations to him. 

A characteristic SD-OCT finding of contiguous hyperreflective dots lining cystic cavities referred to as the pearl necklace sign. These lesions may represent a form of lipid deposition leading to the collection of lipid-laden macrophages in eyes with exudative maculopathy.
Abdullah Ağın, MD

Abdullah Ağın, MD

Haseki Training and Research Hospital, Istanbul

Dr. Abdullah Ağın is graduated from Istanbul University Istanbul Faculty of Medicine in 2011. After completing his residency in Ophthalmology in 2017 at the Hacettepe University Faculty of Medicine, he started to work at the Haseki Training and Research Hospital in 2020. He is interested in the retina. ‘Evaluation of HSP-27, BAP1, BRAF V600E, CCR7, and PD-L1 expression in uveal melanoma on enucleated eyes and metastatic liver tumors’, ‘Assessment of systemic and ocular inflammation in juvenile idiopathic arthritis via choroidal vascularity index’ and ‘The effects of systemic aromatase inhibitors on meibomian glands and corneal structure’ are his main articles.



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