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International Ophthalmology
Published in: International Ophthalmology 2/2019

01-02-2019 | Case Report

Sub-inner limiting membrane hemorrhage in a patient with Terson syndrome

Authors: M. Munteanu, C. Rosca, H. Stanca

Published in: International Ophthalmology | Issue 2/2019

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Abstract

Purpose

To report a case of bilateral Terson Syndrome with sub inner limiting membrane hemorrhage associated with a rare finding: perimacular fold.

Methods

The patient, a 34 years old female with aneurysmal subarachnoid hemorrhage and bilateral Terson syndrome was admitted to the Ophthalmology department, complaining of blurred vision. Core vitrectomy, hyaloid detachment, peeling of the ILM and aspiration of the sub inner limiting membrane hemorrhage was performed. Once the inner limiting membrane of the left eye was peeled off, we noticed a particular aspect: the perimacular fold.

Result

Although our patient suffered from a massive vitreous haemorrhage the postoperative outcome was favorable with a final best corrected visual acuity of 20/30.

Conclusions

In patients with billateral Terson syndrome we recommend early surgery, especially if the neurological status allows it, a good visual acuity being helpful for the neurophysical rehabilitation of the patient.
Literature
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De Maeyer K, Van Ginderdeuren R, Postelmans L, Stalmans P, Van Calster J (2007) Subinner limiting membrane haemorrhage: causes and treatment with vitrectomy. Br J Ophthalmol 91(7):869–872 Epub 2007 Jan 17 CrossRefPubMedPubMedCentral
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Metadata
Title
Sub-inner limiting membrane hemorrhage in a patient with Terson syndrome
Authors
M. Munteanu
C. Rosca
H. Stanca
Publication date
01-02-2019
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 2/2019
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-018-0822-5

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