159 results match your criteria Terson Syndrome


Macular hole with inner limiting membrane peeling off spontaneously in Terson syndrome: A case report.

Medicine (Baltimore) 2021 Jun;100(22):e25960

Eye Center of the second hospital, Jilin University, ChangChun, Jilin Province, China.

Introduction: Terson's syndrome with inner limiting membrane (ILM) peeled off spontaneously is rarely seen, and the mechanism of it is not clear. Here we report a case of Terson Syndrome with a rare finding: the ILM peeled off spontaneously associated with macular hole (MH).

Patient Concerns: A 36-year-old female patient was admitted to our hospital with decreased visual acuity in the right eye lasting for 1 month. Read More

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Vital dyes in macular hole surgery.

Exp Ther Med 2021 May 22;21(5):527. Epub 2021 Mar 22.

Department of Ophthalmology, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.

Currently, surgical techniques, such as internal limiting membrane peeling, are used widely for macular holes, macular puckers, epiretinal membranes, diabetic macular edema, retinal detachment, retinal vein occlusions, vitreomacular traction, optic pit maculopathy, and Terson syndrome. This study aimed to highlight any differences regarding visual acuity and ocular tomography coherence changes after staining the internal limiting membrane with dilutions of Brilliant Blue G vs. lutein/zeaxanthin-based dyes. Read More

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Pseudotumor cerebri syndrome causing a terson like syndrome.

Am J Ophthalmol Case Rep 2020 Dec 24;20:100993. Epub 2020 Nov 24.

New York Eye and Ear Infirmary of Mount Sinai, 310 E 14th Street, New York, NY, 10003, United States.

Purpose: Terson syndrome presents with retinal and vitreous hemorrhages in patients with a subarachnoid hemorrhage or after acutely elevated intracranial pressure. The source of this hemorrhage has been debated and may originate either from direct extension of intracranial hemorrhage or more likely from the peripapillary retinal vessels.

Observations: A 39-year-old woman presenting with nausea, vomiting, floaters and papilledema with normal neuroimaging was diagnosed ultimately with pseudotumor cerebri syndrome. Read More

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December 2020

[Terson syndrome after blood patch: Case report].

J Fr Ophtalmol 2021 Jan 18;44(1):e13-e14. Epub 2020 Nov 18.

Service d'ophtalmologie, CHU de Clermont-Ferrand, hôpital Gabriel-Montpied, 58, rue Montalembert, 63003 Clermont-Ferrand cedex 1, France.

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January 2021

Subarachnoid hemorrhage-negative Terson syndrome after intracranial artery treatment with a flow diverter device.

Am J Ophthalmol Case Rep 2020 Dec 24;20:100978. Epub 2020 Oct 24.

National Hospital Organization Osaka National Hospital, Osaka, Japan.

Purpose: To report a case of subarachnoid hemorrhage-negative Terson syndrome following intracranial artery treatment with flow diverter stents.

Observations: A 40-year-old Asian woman presented with floaters in her right eye after treatment of an intracranial aneurysm with flow diverter stents. Vitreous hemorrhage and sub-inner limiting membrane (sub-ILM) hemorrhage were present in her right eye. Read More

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December 2020

Unilateral Terson-Like Syndrome in a Patient With a Perinatal Ischemic Stroke.

Ophthalmic Surg Lasers Imaging Retina 2020 Oct;51(10):592-595

Terson syndrome typically presents with bilateral hemorrhagic retinopathy associated with acute intracranial bleeding. The authors present a case of neonatal hemispheric ischemic stroke with vasogenic edema and increased intracranial pressure creating a unilateral Terson-like syndrome. Magnetic resonance imaging indicated congenital occlusion of the left internal carotid artery, among other vascular abnormalities. Read More

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October 2020

Photoreceptor damage following long-standing premacular hemorrhage in Terson syndrome.

Indian J Ophthalmol 2020 Oct;68(10):2267

Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

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October 2020

Ocular Fundus Abnormalities in Acute Subarachnoid Hemorrhage: The FOTO-ICU Study.

Neurosurgery 2021 01;88(2):278-284

Department of Ophthalmology, Emory University School of Medicine, Atlanta, Georgia.

Background: Ocular fundus abnormalities, especially intraocular hemorrhage, may represent a clinically useful prognostic marker in patients with acute subarachnoid hemorrhage (SAH).

Objective: To evaluate associations between ocular fundus abnormalities and clinical outcomes in acute SAH.

Methods: Prospective evaluation of acute SAH patients with ocular fundus photography at bedside. Read More

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January 2021

Limited Vitrectomy versus Observation for Bilateral Terson Syndrome in a Child.

Ophthalmol Retina 2021 03 10;5(3):312-314. Epub 2020 Sep 10.

Magrabi Eye Hospital, Tanta, Egypt; Department of Ophthalmology, Faculty of Medicine, Tanta University, Tanta, Egypt.

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Ultrasound diagnosis of Terson syndrome as an indicator of extreme severity in neurocritical care patients.

Neurologia (Engl Ed) 2020 Sep 7. Epub 2020 Sep 7.

Servicio de Medicina Intensiva. Hospital Universitario La Paz, Madrid, España.

Introduction: Terson syndrome (TS) is defined as any intraocular haemorrhage identified in patients with acute intracranial pathology. TS appears to be associated with clinical severity in patients with subarachnoid haemorrhage (SAH), but the association is yet to be defined in patients with traumatic brain injury (TBI) and intracerebral haemorrhage (ICH). This study aimed to evaluate the diagnostic performance of ocular ultrasound (OU) and its usefulness in clinical practice. Read More

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September 2020

Vitelliform Vitreoretinopathy: Clinical Implications of the Vitreomacular Interface.

Oman J Ophthalmol 2020 May-Aug;13(2):100-101. Epub 2020 May 28.

Department of Ophthalmology, Byers Eye Institute, Stanford University, Palo Alto, CA, USA.

Pathologies of the vitreomacular interface are implicated in a variety of sight-threatening clinical entities. The authors present a photo essay of a case of Terson syndrome with a striking premacular dehemoglobinized hemorrhage with ovoid morphology. This unique "vitelliform" finding highlights the distinct structure of the premacular vitreous space and its important implications in both health and disease. Read More

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Clinical observations and considerations in the treatment of Terson syndrome using 23G vitrectomy.

Int Ophthalmol 2020 Sep 7;40(9):2185-2190. Epub 2020 May 7.

Department of Ophthalmology, Qilu Hospital of Shandong University, Wenhua Xi Road107, Jinan, 250012, Shandong, People's Republic of China.

Purpose: This retrospective study analyzed the results of 23G vitrectomy for the treatment of intraocular hemorrhage in patients with Terson syndrome. The pathogenesis of Terson syndrome and the timing of vitrectomy are discussed.

Methods: Eight eyes of eight patients were included in the study. Read More

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September 2020

Clinical Applications of Ultrasonography in Neurocritically Ill Patients.

J Intensive Care Med 2021 Jun 10;36(6):627-634. Epub 2020 Mar 10.

Department of Anaesthesiology, 28006Universidad del Valle, Cali, Colombia.

Ultrasonography is part of the multimodal monitoring of the neurocritical patient. Through transcranial color Doppler ultrasound, carotid-color Doppler ultrasound, and ocular ultrasound it is possible to diagnose and monitor a multitude of pathological conditions, such as cerebrovascular events, vasospasm, Terson syndrome, carotid atheromatosis, and brain death. Furthermore, these techniques enable the monitoring of the intracranial pressure, the cerebral perfusion pressure, and the midline deviation, which allows us to understand the patient's neurocritical pathology at their bedside, in a noninvasive way. Read More

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Ocular ultrasonography in patients with subarachnoid hemorrhage and Terson syndrome.

Can J Anaesth 2020 08 9;67(8):1072-1073. Epub 2020 Mar 9.

Department of Medicine, Surgery, and Dentistry, Scuola Medica Salernitana, University of Salerno, Salerno, Italy.

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In reply: Ocular ultrasonography in patients with subarachnoid hemorrhage and Terson syndrome.

Can J Anaesth 2020 08 9;67(8):1074-1075. Epub 2020 Mar 9.

Department of Anesthesiology and Division of Critical Care, Institut Universitaire de Cardiologie et de Pneumologie, Quebec, QC, Canada.

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Clinical characteristics of asymptomatic Terson syndrome in the patients with aneurysmal subarachnoid hemorrhage.

Int J Ophthalmol 2020 18;13(2):292-300. Epub 2020 Feb 18.

Department of Ophthalmology, Choikang Eye Clinic, Seoul 01110, Republic of Korea.

Aim: To investigate clinical characteristics of asymptomatic Terson syndrome and its clinical impact in patients with aneurysmal subarachnoid hemorrhage (SAH).

Methods: This retrospective, interventional study included 31 patients with aneurysmal SAH, and the medical records were reviewed. In addition to baseline characteristics of the study population such as age, sex, and underlying medical history, multi-modal imaging analysis, including fluorescein angiography (FA), spectral domain optical coherence tomography (SD-OCT), were also reviewed. Read More

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February 2020

Microsurgical observation of the posterior vitreous in patients with vitreous hemorrhage caused by Terson syndrome.

Am J Ophthalmol Case Rep 2020 Mar 4;17:100613. Epub 2020 Feb 4.

Department of Neurosurgery, Nakamura Memorial Hospital, S-1, W-14, Chuo-ku, Sapporo, Japan.

Purpose: To describe features characteristic of vitreous hemorrhage in patients with Terson syndrome observed through a microsurgical scope.

Methods: Between May 2015 and February 2019, 12 eyes of 10 patients with vitreous hemorrhage occurring after subarachnoid hemorrhage (SAH) underwent pars plana vitrectomy.

Results: During vitreous surgery, we found 10 of 12 eyes did not have posterior vitreous detachment (PVD). Read More

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Terson syndrome with persistent vitreous hemorrhage following traumatic brain injury.

Saudi J Ophthalmol 2019 Oct-Dec;33(4):392-397. Epub 2018 Dec 7.

University of Health Sciences, Ankara Ulucanlar Eye Education and Research Hospital, Ankara, Turkey.

The objective of this study was to report clinical findings and surgical outcomes of 3 patients with persistent vitreous hemorrhage diagnosed as Terson syndrome (TS). Posterior segment changes, optical coherence tomography scans, fundus autofluorescence images, and fundus fluorescein angiography findings of patients were evaluated and pars plana vitrectomy (PPV) was performed on 3 eyes of three patients. All eyes operated after 6 months from the date of injury and final visual acuities were 20/200, 20/60 and 20/30. Read More

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December 2018

Incidence of Terson Syndrome in Treated Subarachnoid Hemorrhage in South Korea: a National Health Insurance Database Study.

Sci Rep 2019 12 13;9(1):19048. Epub 2019 Dec 13.

Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea.

The aim of this study is to investigate the incidence and mortality of Terson syndrome in patients with treated subarachnoid hemorrhage (SAH) in South Korea. In this nationwide, population-based study, we used the National Health Insurance(NHI) database (2011-2015) to identify patients aged ≥18 years. Newly diagnosed non-traumatic SAH, treated using clipping or coil embolization, were identified, and Terson syndrome was defined as newly diagnosed retinal or vitreous hemorrhage within 3 months of SAH diagnosis. Read More

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December 2019

Terson syndrome: A condition to keep in mind.

Med Intensiva (Engl Ed) 2019 Dec 9. Epub 2019 Dec 9.

Servicio de Neurocirugía, Hospital Universitario Marqués de Valdecilla, Instituto de Investigación Valdecilla (IDIVAL), Santander, Cantabria, España.

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December 2019

Point-of-care handheld ophthalmic ultrasound in the diagnosis and evaluation of raised intracranial pressure and Terson syndrome: a description of two cases.

Can J Anaesth 2020 03 22;67(3):353-359. Epub 2019 Nov 22.

Division of Critical Care, Centre Hospitalier de l'Université de Montréal, Montreal, QC, Canada.

Background: Ultrasound (US) examination of the eye can be used to detect and monitor elevated intracranial pressure (ICP) and its consequences. Elevated ICP is transmitted to the contiguous optic nerve and its sheath (dura mater), thus underlying the development of papilledema and a widened sheath diameter. The US measurement of the optic nerve sheath diameter (ONSD) has previously been validated to diagnose and monitor raised ICP. Read More

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Histopathological Changes and Clinical Outcomes following Intervention for Sub-Internal Limiting Membrane Haemorrhage.

Ophthalmologica 2020 19;243(3):217-223. Epub 2019 Nov 19.

St Pauls Eye Unit, Royal Liverpool Hospital, Liverpool, United Kingdom.

Introduction: Haemorrhage confined to the sub-internal limiting membrane (ILM) space can be associated with good visual recovery. There is controversy as to the best management of purely sub-ILM haemorrhage, which ranges from observation to immediate surgical intervention.

Methods: We studied a retrospective case series of patients with sub-ILM haemorrhage who underwent vitrectomy with subsequent histological analysis of the removed ILM. Read More

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Terson's syndrome.

Pract Neurol 2020 Apr 30;20(2):163-164. Epub 2019 Oct 30.

Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.

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Can Baseline Computed Tomography Scans Be Used to Identify Patients at High Risk of Vision Loss due to Terson Syndrome?

Am J Ophthalmol 2020 03 25;211:217-228. Epub 2019 Sep 25.

Department of Neurology, Mayo Clinic Florida, Jacksonville, Florida, USA.

Purpose: To determine if routinely performed computed tomographic (CT) scanning in patients with aneurysmal subarachnoid hemorrhages (aSAHs) is sufficient to identify patients at high risk of vision loss due to Terson syndrome (TS).

Methods: Consecutive patients with a diagnosis of aSAH admitted to the neurologic intensive care unit of a regional referral hospital over a 3-year period were prospectively evaluated. Head CT scans performed in the emergency department were assessed for the presence of a "crescent sign" (evidence of significant subinternal limiting membrane hemorrhage). Read More

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Visual impairment in high flow and low flow carotid cavernous fistula.

Sci Rep 2019 09 6;9(1):12872. Epub 2019 Sep 6.

Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, India.

Our aim is to study the varied posterior segment manifestations, level of visual impairment (VI) and its causes in carotid cavernous fistula (CCF) patients. A retrospective study was done, wherein data was obtained from 48 digital subtraction angiogram (DSA) proven CCF patients. CCF was classified according to Barrow et al. Read More

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September 2019

Clinical features and visual prognostic indicators after vitrectomy for Terson syndrome.

Eye (Lond) 2020 04 27;34(4):650-656. Epub 2019 Aug 27.

Eye Center, The Second Hospital of Jilin University, #218 Ziqiang Street, Changchun, 130000, Jilin, China.

Purpose: To determine clinical characteristics and identify factors associated with better visual outcomes in patients who had vitrectomy for vitreous haemorrhage (VH) associated with Terson syndrome (TS).

Methods: The records of 48 patients (54 corresponding eyes) who underwent vitrectomy for VH associated with TS from January 2008 to December 2017 were retrospectively reviewed. The main outcome measure was the final postoperative visual acuity. Read More

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Delayed closure of macular hole secondary to Terson syndrome after vitrectomy: A case report and literature review.

Medicine (Baltimore) 2019 Aug;98(31):e16577

Department of Ophthalmology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.

Rationale: Macular hole (MH) is a rare complication of Terson syndrome. Delayed closure of persistent MH after pars plana vitrectomy (PPV) is occasionally reported in literature, none of them is MH secondary to Terson syndrome. We describe a case of MH secondary to Terson syndrome and delayed closure occurred after PPV, and we also study the characteristics of delayed closure of persistent MH by reviewing related literatures. Read More

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