AI Article Synopsis

  • A 33-year-old man developed bilateral Terson syndrome after a traffic accident, presenting with a unique mushroom-like mass on the optic disc along with proliferative vitreoretinopathy and retinal detachment.
  • After undergoing vitrectomy, a pigmented mass and extensive epiretinal membrane were identified, indicating severe complications from the injury.
  • Although the patient experienced improved vision in one eye, the other eye faced complications, highlighting the need for careful monitoring and early treatment for Terson syndrome cases.

Article Abstract

Background: To report a case with bilateral Terson syndrome presented with a unique mushroom-like mass lesion on the optic disc along with proliferative vitreoretinopathy and tractional retinal detachment.

Case Presentation: A 33-year-old man was injured during a traffic accident and had diffuse brain swelling and intraocular hemorrhage. Poor vision in both eyes was noted after the patient regained consciousness. B-scan ultrasonography showed extensive vitreous opacity with a posterior vitreous detachment and without obvious retinal detachment. Vitrectomy was performed in both eyes five months after the accident. After clearing up the vitreous opacity, a peculiar pigmented mushroom-like mass lesion was noted in the posterior pole and had severe adhesion to the underneath optic disc. Extensive multilayered peripapillary epiretinal membrane was found covering the posterior pole and led to tractional retinal detachment around the macula. The mass was presumed to be an organized vitreous hemorrhage originated from the optic disc. The extensive and adherent epiretinal membrane together with the mass lesion were removed as much as possible and silicon oil was injected for tamponade. However, in the right eye, the retina redetached under silicon oil, whereas in the left eye, his vision improved to 20/100.

Conclusions: Terson syndrome usually has a favorable prognosis but may be complicated by proliferative vitreoretinopathy and tractional retinal detachment. Careful monitoring is warranted and early vitrectomy should be considered in cases suspecting additional pathologies.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11003055PMC
http://dx.doi.org/10.1186/s12886-024-03407-8DOI Listing

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