J Korean Ophthalmol Soc.  2008 Jul;49(7):1194-1197. 10.3341/jkos.2008.49.7.1194.

Full Thickness Macular Holes Associated with Terson Syndrome

• Lee SB
• Kim SH
• Kim JY

• KMID: 1476978
• DOI: http://doi.org/10.3341/jkos.2008.49.7.1194

Abstract

PURPOSE: To report a case of a full-thickness macular hole caused by Terson syndrome.
CASE SUMMARY
A 49-year-old man presented to our clinic with decreased visual acuity in the right eye after a subarachnoid hemorrhage due to spontaneous rupture a middle cerebral artery aneurysm. On the first examination, the corrected visual acuity was hand movement in the right eye and 1.0 in the left eye. There was massive vitreous hemorrhage in the right eye. In the left eye, there was no abnormal ocular finding. He was diagnosed with vitreous hemorrhage due to Terson syndrome and waited for the spontaneous absorption of the vitreous hemorrhage. Six months later, the vitreous hemorrhage was considerably absorbed, but a macular hole was observed. OCT scans showed a full-thickness macular hole with an epiretinal membrane.

Keyword

Macular hole; Terson syndrome

MeSH Terms

Absorption
Epiretinal Membrane
Eye
Hand
Humans
Intracranial Aneurysm
Middle Aged
Retinal Perforations
Rupture, Spontaneous
Subarachnoid Hemorrhage
Visual Acuity
Vitreous Hemorrhage

Figure

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  Figure 1. Ultrasonograph shows vitreous hemorrhage of the right eye on the first examination.

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  Figure 2. Fundus photograph shows a full-thickness macular hole with epiretinal membrane in the right eye at 6 months after the initial visit.

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  Figure 3. Optical coherence tomography: Horizontal scan (A) and vertical scan (B) show a full-thickness macular hole and epiretinal membrane.

Reference

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