Terson’s syndrome: An interesting case report

Terson’s syndrome is described as an intra-ocular hemorrhage (sub hyaloid, intraretinal, subretinal bleed, or vitreous) occurring secondary to raised intracranial pressure (ICP) secondary to any intra cranial hemorrhage or traumatic brain injury. This report presents a case of a 34-year-old male who...

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Main Authors: Rajwinder Kaur, Mehak Mangla, Balbir Khan, Harleen Kaur
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Journal of Clinical Ophthalmology and Research
Subjects:
Online Access:https://journals.lww.com/10.4103/jcor.jcor_111_24
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author Rajwinder Kaur
Mehak Mangla
Balbir Khan
Harleen Kaur
author_facet Rajwinder Kaur
Mehak Mangla
Balbir Khan
Harleen Kaur
author_sort Rajwinder Kaur
collection DOAJ
description Terson’s syndrome is described as an intra-ocular hemorrhage (sub hyaloid, intraretinal, subretinal bleed, or vitreous) occurring secondary to raised intracranial pressure (ICP) secondary to any intra cranial hemorrhage or traumatic brain injury. This report presents a case of a 34-year-old male who was diagnosed with a ruptured aneurysm of the left middle cerebral artery, which led to intracranial hemorrhage followed by raised ICP. On recovery, he noticed the loss of vision in both eyes. After 2 months, he was brought to an ophthalmologist in wheelchair for further detailed evaluation, where he was diagnosed with bilateral dense vitreous hemorrhage, making him blind (hand movements positive [HM+]) for 2 months. In view of bilateral involvement and HM+ in both eyes, 23G pars plana vitrectomy was performed in both eyes. Hence, a high index of suspicion and early intervention in cases of bilateral dense vitreous hemorrhage can result in a favorable visual outcome (visual acuity of 20/30 in both eyes).
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series Journal of Clinical Ophthalmology and Research
spelling doaj-art-3ae1edf2a7244935bc143706d3bbbfe02025-02-06T06:38:52ZengWolters Kluwer Medknow PublicationsJournal of Clinical Ophthalmology and Research2320-38972320-39002025-01-0113110310510.4103/jcor.jcor_111_24Terson’s syndrome: An interesting case reportRajwinder KaurMehak ManglaBalbir KhanHarleen KaurTerson’s syndrome is described as an intra-ocular hemorrhage (sub hyaloid, intraretinal, subretinal bleed, or vitreous) occurring secondary to raised intracranial pressure (ICP) secondary to any intra cranial hemorrhage or traumatic brain injury. This report presents a case of a 34-year-old male who was diagnosed with a ruptured aneurysm of the left middle cerebral artery, which led to intracranial hemorrhage followed by raised ICP. On recovery, he noticed the loss of vision in both eyes. After 2 months, he was brought to an ophthalmologist in wheelchair for further detailed evaluation, where he was diagnosed with bilateral dense vitreous hemorrhage, making him blind (hand movements positive [HM+]) for 2 months. In view of bilateral involvement and HM+ in both eyes, 23G pars plana vitrectomy was performed in both eyes. Hence, a high index of suspicion and early intervention in cases of bilateral dense vitreous hemorrhage can result in a favorable visual outcome (visual acuity of 20/30 in both eyes).https://journals.lww.com/10.4103/jcor.jcor_111_24bilateralintracranial hemorrhageterson’s syndromevitrectomyvitreous hemorrhage
spellingShingle Rajwinder Kaur
Mehak Mangla
Balbir Khan
Harleen Kaur
Terson’s syndrome: An interesting case report
Journal of Clinical Ophthalmology and Research
bilateral
intracranial hemorrhage
terson’s syndrome
vitrectomy
vitreous hemorrhage
title Terson’s syndrome: An interesting case report
title_full Terson’s syndrome: An interesting case report
title_fullStr Terson’s syndrome: An interesting case report
title_full_unstemmed Terson’s syndrome: An interesting case report
title_short Terson’s syndrome: An interesting case report
title_sort terson s syndrome an interesting case report
topic bilateral
intracranial hemorrhage
terson’s syndrome
vitrectomy
vitreous hemorrhage
url https://journals.lww.com/10.4103/jcor.jcor_111_24
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