A case of Terson syndrome with hematoma posterior to the internal limiting membrane Kentaro Kamata 1 , Tetsuya Agawa 1 , Masahiro Miura 1 , Masahiro Osako 1 , Masahiko Usui 2 1Dept of Ophthalmol,Kasumigaura-Hosp,Tokyo Med Univ 2Dept of Ophthalmol,Tokyo Med Univ pp.1313-1317
Published Date 2004/7/15
DOI https://doi.org/10.11477/mf.1410100665
  • Abstract
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 A 43-year-old male developed rupture of aneurysm of left posterior cerebral artery. He received clipping surgery the same day. Vitreous hemorrhage was detected in both eyes on day 2 of surgery. When seen by us 5 weeks later,his visual acuity was 0.1 right and counting fingers left. We diagnosed him with Terson syndrome. He received vitreous surgery 2months after onset. We identified a hematoma posterior to the internal limiting membrane in the left eye. The right eye had yellowish deposits anterior to the retina. The postoperative course was uneventful. He obtained final visual acuity of 1.2 in either eye. This case illustrates that hemorrhage posterior to the internal limiting membrane is a liability in addition to vitreous hemorrhage in Terson syndrome. There is a possibility of formation of preretinal membrane and retinal dysfunction by disintegration of blood. We advocate early surgery for Terson syndrome.

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