Terson syndrome: a case report suggesting the mechanism of vitreous hemorrhage

Ophthalmology. 2001 Sep;108(9):1654-6. doi: 10.1016/s0161-6420(01)00673-x.


Objective: To present a patient with Terson syndrome and to propose a mechanism for vitreous hemorrhage.

Design: Observational case report.

Participant: A 50-year-old woman with subarachnoid hemorrhage and unilateral vitreous hemorrhage.

Methods: Detailed examination with fluorescein angiography and funduscopy.

Main outcome measures: Site of dye leakage on fluorescein angiography in the eye with vitreous hemorrhage.

Results: Fluorescein angiography showed the leakage site at the margin of the disc in the eye with vitreous hemorrhage after the vitreous hemorrhage had been removed.

Conclusions: The damage to peripapillary tissues demonstrated by fluorescein leakage suggests that intracranial hypertension affects peripapillary structures through the intervaginal space of the optic nerve sheath.

Publication types

  • Case Reports

MeSH terms

  • Capillary Permeability
  • Female
  • Fluorescein Angiography
  • Fundus Oculi
  • Humans
  • Intracranial Hypertension / complications
  • Middle Aged
  • Optic Disk / diagnostic imaging
  • Optic Disk / pathology*
  • Optic Nerve Diseases / diagnosis*
  • Subarachnoid Hemorrhage / complications
  • Subarachnoid Hemorrhage / diagnosis*
  • Subarachnoid Hemorrhage / surgery
  • Syndrome
  • Ultrasonography
  • Visual Acuity
  • Vitrectomy
  • Vitreous Hemorrhage / complications
  • Vitreous Hemorrhage / diagnosis*
  • Vitreous Hemorrhage / surgery