Terson's Syndrome: Clinicopathologic Correlations

Thomas A. Weingeist, Edward J. Goldman, James C. Folk, Andrew J. Packer, Karl C. Ossoinig

Research output: Contribution to journalArticlepeer-review

67 Scopus citations

Abstract

In seven cases of Terson's syndrome, an elevated, dome-shaped, membrane was detected in the posterior pole by ophthalmoscopy, echography, or during pars plana vitrectomy. Light and electron microscopic examination of two additional eyes obtained postmortem from an acute case of Terson's syndrome revealed that the posterior vitreous face was elevated by blood and that the internal limiting membrane of the retina was intact and in its normal position. In two chronic cases, a dome-shaped epiretinal membrane was excised from the macula during vitrectomy. Light and ultrastructural studies demonstrated that the membranes consisted of glial cells and basement membrane material. The dome-shaped structure observed in eyes with Terson's syndrome is due to the formation of a subhyaloid hemorrhage. The partially detached posterior hyaloid face created by this hemorrhage provides a scaffold for cellular proliferation and the development of an elevated epiretinal membrane in long-standing cases. Echographically, this membrane resembles a retinal detachment in 13scans, but can be clearly distinguished from retina with standardized A-scan.

Original languageEnglish (US)
Pages (from-to)1435-1442
Number of pages8
JournalOphthalmology
Volume93
Issue number11
DOIs
StatePublished - 1986
Externally publishedYes

Keywords

  • Epiretinal membrane
  • Terson's syndrome
  • intracranial hemorrhage
  • macula
  • pars plana vitrectomy
  • subhyaloid hemorrhage
  • vitreous hemorrhage

ASJC Scopus subject areas

  • Ophthalmology

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