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Terson syndrome- surgical approach

Poster Details

First Author: A.Moraru ROMANIA

Co Author(s):    D. Costin   D. Branisteanu               0   0 0   0 0   0 0   0 0

Abstract Details


Assessment of the anatomical and functional results after pars plana vitrectomy for intraocular hemorrhage in a patient diagnosed with Terson Syndrome after intracranial aneurysm rupture.


N. Oblu Hospital, Iasi, Romania; Gr. T. Popa University of Medicine and Pharmacy Iasi, Romania


Case report of a 43 year old female diagnosed with Terson Syndrome after intracranial posterior communicating artery aneurysm rupture. The patient presented with vitreal hemorrhage in the right eye (RE) and sub-internal limiting membrane (ILM) hematoma in the left eye (LE). Retinal photographs were taken and 23G pars plana vitrectomy was performed in both eyes together with the ILM peeling in the left eye.


The patient presented with BCVA of 0.3 in the right eye and 0.02 in the left eye. Vitrectomy was performed first in the right eye, one month after the aneurysm rupture. The left eye was operated three weeks later, after an intravitreal injection of tissue plasminogen activator one day prior to the surgery. Postoperative evolution was favorable, BCVA at one month was 1 in the RE and 0,8 in the LE. Anatomical results were evaluated by posterior pole photographs and OCT.


Vitrectomy was safe and effective in treating intraocular hemorrhage secondary to intracranial aneurysm rupture and allowed a rapid visual recovery of this young patient.

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