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

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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.


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.

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  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.