Traumatic terson syndrome with a peculiar mass lesion and tractional retinal detachment: a case report
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 diff...
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12886-024-03407-8 |
| _version_ | 1827284396978208768 |
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| author | Yung-Chen Lin Chung-Ting Wang Kuan-Jen Chen Hung-Da Chou |
| author_facet | Yung-Chen Lin Chung-Ting Wang Kuan-Jen Chen Hung-Da Chou |
| author_sort | Yung-Chen Lin |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-24T09:55:08Z |
| format | Article |
| id | doaj.art-317e921671b24241918358359d07b52b |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-04-24T09:55:08Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-317e921671b24241918358359d07b52b2024-04-14T11:10:31ZengBMCBMC Ophthalmology1471-24152024-04-012411410.1186/s12886-024-03407-8Traumatic terson syndrome with a peculiar mass lesion and tractional retinal detachment: a case reportYung-Chen Lin0Chung-Ting Wang1Kuan-Jen Chen2Hung-Da Chou3College of Medicine, Chang Gung UniversityDepartment of Ophthalmology, Linkou Branch, Chang Gung Memorial HospitalCollege of Medicine, Chang Gung UniversityCollege of Medicine, Chang Gung UniversityAbstract 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.https://doi.org/10.1186/s12886-024-03407-8Terson syndromeRetinal detachmentEpiretinal membraneVitreous hemorrhageProliferative vitreoretinopathy |
| spellingShingle | Yung-Chen Lin Chung-Ting Wang Kuan-Jen Chen Hung-Da Chou Traumatic terson syndrome with a peculiar mass lesion and tractional retinal detachment: a case report BMC Ophthalmology Terson syndrome Retinal detachment Epiretinal membrane Vitreous hemorrhage Proliferative vitreoretinopathy |
| title | Traumatic terson syndrome with a peculiar mass lesion and tractional retinal detachment: a case report |
| title_full | Traumatic terson syndrome with a peculiar mass lesion and tractional retinal detachment: a case report |
| title_fullStr | Traumatic terson syndrome with a peculiar mass lesion and tractional retinal detachment: a case report |
| title_full_unstemmed | Traumatic terson syndrome with a peculiar mass lesion and tractional retinal detachment: a case report |
| title_short | Traumatic terson syndrome with a peculiar mass lesion and tractional retinal detachment: a case report |
| title_sort | traumatic terson syndrome with a peculiar mass lesion and tractional retinal detachment a case report |
| topic | Terson syndrome Retinal detachment Epiretinal membrane Vitreous hemorrhage Proliferative vitreoretinopathy |
| url | https://doi.org/10.1186/s12886-024-03407-8 |
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