We report the presentation and outcome of Terson syndrome in four eyes of two infants in a tertiary hospital in Saudi Arabia. This is a retrospective report of two infants with Terson syndrome due to accidental traumatic head injuries. Intraoperative screenshots of the posterior pole were taken for both cases. A 4-month-old healthy boy had Terson syndrome following a motor vehicle accident. The patient underwent pars plana vitrectomy (PPV) for both eyes. Eventually, he had poor visual outcomes due to macular scars, sclerosed retinal vessels, and a thick internal limiting membrane (ILM). The other case was a 10-month-old boy who had Terson syndrome after recurrent falls. The patient underwent PPV for both eyes. Later, the patient's left retina was detached which required another intervention. Both eyes had peripapillary atrophy and epiretinal fibrosis. Terson syndrome is an uncommon condition in the pediatric population. Generally, patients with Terson syndrome have good visual outcomes. In this case report, we describe an incidence of Terson syndrome in two infants following traumatic head injuries who had poor visual outcomes after surgical intervention due to macular scars, posterior pole fibrosis, sclerosed retinal vessels, and optic disc atrophy.
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http://dx.doi.org/10.7759/cureus.75102 | DOI Listing |
Cureus
December 2024
Department of Ophthalmology, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, SAU.
Biomedicines
October 2024
Fondazione Santa Lucia-IRCCS, 00142 Rome, Italy.
Background/objectives: Terson Syndrome (TS) is a rare entity consisting of an intraocular hemorrhage secondary to subarachnoid hemorrhage (SAH) or intracerebral hemorrhage (IH). This study aimed to retrospectively describe the experience of the Ophthalmology Unit of Policlinico Gemelli, Rome, in the management of TS.
Methods: Twenty-four eyes of 19 patients (10 males-53%; 9 females-47%; mean age of 44.
Vision (Basel)
October 2024
Department of Ophthalmology, Medical School, University of Patras, 26504 Patras, Greece.
We report an unusual case of pupil-involving third nerve palsy associated with Terson's syndrome that resulted in the diagnosis of a right posterior communicating artery aneurysm. Interestingly, Terson's syndrome presented with Roth spot-resembling features, accompanied by third nerve palsy in a patient without any disturbance of consciousness. To our knowledge, the association of Terson's syndrome with third nerve palsy has not been described before in the absence of radiologically diagnosed subarachnoid haemorrhage.
View Article and Find Full Text PDFSurg Neurol Int
August 2024
Unit of Neurosurgery, S. Elia Hospital, Caltanissetta, Italy.
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