Delayed macular hole secondary to Terson syndrome: a case report and literature review
Terson syndrome refers to intraocular haemorrhage that occurs due to subarachnoid bleeding associated with an acute increase in intracranial pressure. No previous study has reported a delayed macular hole (MH) secondary to Terson syndrome. A 17-year-old boy visited our department and presented with...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2024-03-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605241233125 |
| _version_ | 1797267258205011968 |
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| author | Yi Zhang Chunyan Lei Xi Huang Meixia Zhang |
| author_facet | Yi Zhang Chunyan Lei Xi Huang Meixia Zhang |
| author_sort | Yi Zhang |
| collection | DOAJ |
| description | Terson syndrome refers to intraocular haemorrhage that occurs due to subarachnoid bleeding associated with an acute increase in intracranial pressure. No previous study has reported a delayed macular hole (MH) secondary to Terson syndrome. A 17-year-old boy visited our department and presented with vitreous bleeding and a history of subarachnoid haemorrhage. Sub-internal limiting membrane (ILM) haemorrhage with ILM detachment and intraretinal haemorrhage were detected during pars plana vitrectomy. Additionally, a delayed MH was detected 1 week after the surgery. There was no sign of MH closure during a 2-month follow-up. Subsequently, an MH massage was performed to close the MH. Our findings suggest that a delayed MH can occur secondary to Terson syndrome. Elevated hydrodynamic pressure and hydrostatic pressure, which are caused by sub-ILM and intraretinal haemorrhages of the fovea, contribute to the formation of an MH. Additionally, ILM peeling may cause damage to the macula and facilitate the formation of MHs. Although the MH may close by itself, early surgical intervention is recommended when there is no sign that the MH will close spontaneously because a prolonged MH can lead to retinal damage. |
| first_indexed | 2024-04-25T01:13:43Z |
| format | Article |
| id | doaj.art-81890fb3c26f49949188ebe70d24447d |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-04-25T01:13:43Z |
| publishDate | 2024-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-81890fb3c26f49949188ebe70d24447d2024-03-10T03:03:42ZengSAGE PublishingJournal of International Medical Research1473-23002024-03-015210.1177/03000605241233125Delayed macular hole secondary to Terson syndrome: a case report and literature reviewYi ZhangChunyan LeiXi HuangMeixia ZhangTerson syndrome refers to intraocular haemorrhage that occurs due to subarachnoid bleeding associated with an acute increase in intracranial pressure. No previous study has reported a delayed macular hole (MH) secondary to Terson syndrome. A 17-year-old boy visited our department and presented with vitreous bleeding and a history of subarachnoid haemorrhage. Sub-internal limiting membrane (ILM) haemorrhage with ILM detachment and intraretinal haemorrhage were detected during pars plana vitrectomy. Additionally, a delayed MH was detected 1 week after the surgery. There was no sign of MH closure during a 2-month follow-up. Subsequently, an MH massage was performed to close the MH. Our findings suggest that a delayed MH can occur secondary to Terson syndrome. Elevated hydrodynamic pressure and hydrostatic pressure, which are caused by sub-ILM and intraretinal haemorrhages of the fovea, contribute to the formation of an MH. Additionally, ILM peeling may cause damage to the macula and facilitate the formation of MHs. Although the MH may close by itself, early surgical intervention is recommended when there is no sign that the MH will close spontaneously because a prolonged MH can lead to retinal damage.https://doi.org/10.1177/03000605241233125 |
| spellingShingle | Yi Zhang Chunyan Lei Xi Huang Meixia Zhang Delayed macular hole secondary to Terson syndrome: a case report and literature review Journal of International Medical Research |
| title | Delayed macular hole secondary to Terson syndrome: a case report and literature review |
| title_full | Delayed macular hole secondary to Terson syndrome: a case report and literature review |
| title_fullStr | Delayed macular hole secondary to Terson syndrome: a case report and literature review |
| title_full_unstemmed | Delayed macular hole secondary to Terson syndrome: a case report and literature review |
| title_short | Delayed macular hole secondary to Terson syndrome: a case report and literature review |
| title_sort | delayed macular hole secondary to terson syndrome a case report and literature review |
| url | https://doi.org/10.1177/03000605241233125 |
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