Retina-Vitreous
2019 , Vol 28 , Num 4
The Vital Importance of Intraocular Bleeding Differential Diagnosis
1Asist. Dr., Sağlık Bilimleri Üniversitesi Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi, Göz Hastalıkları, İstanbul, Türkiye2Doç. Dr., Sağlık Bilimleri Üniversitesi Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi, Göz Hastalıkları, İstanbul, Türkiye
3Uz. Dr., Sağlık Bilimleri Üniversitesi Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi, Göz Hastalıkları, İstanbul, Türkiye Currently Terson?s Syndrome(TS) is used to describe all types of bleeding seen in the posterior segment associated with intracranial hemorrhage and intracranial pressure elevation. During intracranial hemorrhage rising intracranial pressure is thought to be transmitted through the optic nerve sheath, resulting in venous hypertension in the optic nerve, rupture of the retinal veins and bleeding. In this study we present a case of TS who applied initially to our clinic. A seventy-seven-years-old male patient was admitted to our clinic with decreased vision in both eyes and complaints of headache. Best corrected visual acuity(BCVA) of the patient was found to be 0.2 and 0.3 in the right and left eye respectively. In fundus examination there was papilledema, intraretinal hemorrhages around the optic disc and intravitreal. The patient, who was thought to be TS in the differential diagnosis, stated that he had a head trauma 2 months ago. The patient underwent emergency cranial computerized tomography and was diagnosed with subdural hematoma which he underwent surgery for. During the third month of follow-up, increased BCVA and decreased intraocular hemorrhage were noted. This case shows us vital importance of differential diagnosis of TS in any case of intraocular hemorrhage. Keywords : Terson?s syndrome, intraocular hemorrhage, subdural hematoma