Vol 2, No 4 (2017)
Case report
Published online: 2018-03-30

open access

Page views 934
Article views/downloads 778
Get Citation

Connect on Social Media

Connect on Social Media

Management of retinal detachment with severe proliferative vitreoretinopathy in Terson syndrome — case report

Katarzyna Nowomiejska1, Edyta Koman1, Robert Rejdak1
Ophthalmol J 2017;2(4):113-116.

Abstract

We present a case of aneurysmal subarachnoid hemorrhage accompanied by a dense vitreous hemorrhage and subsequent retinal detachment with strong proliferative retinopathy (PVR) in a young woman. The surgical treatment included vitrectomy with PVR removal, ILM peeling and silicone oil as a tamponade. In our case, the treatment resulted in recovery of vision and improved activities of daily living, although unusually vitreous hemorrhage was complicated with retinal detachment and strong PVR.

Article available in PDF format

View PDF Download PDF file

References

  1. Narayanan R, Taylor SC, Nayaka A, et al. Visual Outcomes after Vitrectomy for Terson Syndrome Secondary to Traumatic Brain Injury. Ophthalmology. 2017; 124(1): 118–122.
  2. Ogawa T, Kitaoka T, Dake Y, et al. Terson syndrome: a case report suggesting the mechanism of vitreous hemorrhage. Ophthalmology. 2001; 108(9): 1654–1656.
  3. Michalewska Z, Michalewski J, Nawrocki J. Possible methods of blood entrance in Terson syndrome. Ophthalmic Surg Lasers Imaging. 2010; 41 Suppl: S42–S49.
  4. Terson A. De l’hémorrhagie dans le corps vitre au cours de l’hémorrhagie cerebrale. Clin Ophthalmol. 1900; 6: 309–123.
  5. Kuhn F, Morris R, Witherspoon CD, et al. Terson syndrome. Results of vitrectomy and the significance of vitreous hemorrhage in patients with subarachnoid hemorrhage. Ophthalmology. 1998; 105(3): 472–477.
  6. Nowosielska A, Czarnecki W, Zabek M. [Terson syndrome in a course of cerebral aneurysm--clinical assessment]. Klin Oczna. 2003; 105(1-2): 49–51.
  7. Verbraeken H, Van Egmond J. Non-diabetic and non-oculotraumatic vitreous haemorrhage treated by pars plana vitrectomy. Bull Soc Belge Ophtalmol. 1999; 272: 83–89.
  8. Errera MH, Barale PO, Ounnoughene Y, et al. [25-Gauge transconjunctival vitrectomy in a case of bilateral epiretinal membrane associated with a Terson syndrome]. J Fr Ophtalmol. 2009; 32(4): 268–272.
  9. Shaw HE, Landers MB, Sydnor CF. The significance of intraocular hemorrhages due to subarachnoid hemorrhage. Ann Ophthalmol. 1977; 9(11): 1403–1405.
  10. Sharma T, Gopal L, Biswas J, et al. Results of vitrectomy in Terson syndrome. Ophthalmic Surg Lasers. 2002; 33(3): 195–199.
  11. Garweg JG, Koerner F. Outcome indicators for vitrectomy in Terson syndrome. Acta Ophthalmol. 2009; 87(2): 222–226.
  12. Velikay M, Datlinger P, Stolba U, et al. Retinal detachment with severe proliferative vitreoretinopathy in Terson syndrome. Ophthalmology. 1994; 101(1): 35–37.
  13. Ritland JS, Syrdalen P, Eide N, et al. Outcome of vitrectomy in patients with Terson syndrome. Acta Ophthalmol Scand. 2002; 80(2): 172–175.
  14. Obuchowska I, Turek G, Mariak Z, et al. Early Intraocular Complications of Subarachnoid Haemorrhage after Aneurysm Rupture. Neuroophthalmology. 2014; 38(4): 199–204.
  15. Wiedemann P, Yandiev Y, Hui YN, et al. Pathogenesis of Proliferative Vitreoretinopathy. Retina. 2013: 1640–1646.
  16. Swallow CE, Tsuruda JS, Digre KB, et al. Terson syndrome: CT evaluation in 12 patients. AJNR Am J Neuroradiol. 1998; 19(4): 743–747.
  17. Acar U, Tok OY, Acar DE, et al. A new ocular trauma score in pediatric penetrating eye injuries. Eye (Lond). 2011; 25(3): 370–374.
  18. Abrams GW, Azen SP, McCuen BW, et al. The incidence of corneal abnormalities in the Silicone Study. Silicone Study Report 7. Arch Ophthalmol. 1995; 113(6): 764–769.