Full Thickness Macular Holes Associated with Terson Syndrome

Sung Bok Lee; Sang Hyuk Kim; Jung Yeul Kim

doi:10.3341/jkos.2008.49.7.1194

Journal List > J Korean Ophthalmol Soc > v.49(7) > 1008034

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Lee, Kim, and Kim: Full Thickness Macular Holes Associated with Terson Syndrome

Original Article

J Korean Ophthalmol Soc 2008;49(7):1194-1197.

Published online: 7 September 2008

DOI: https://doi.org/10.3341/jkos.2008.49.7.1194

Full Thickness Macular Holes Associated with Terson Syndrome

Sung Bok Lee, M.D.^1,², Sang Hyuk Kim, M.D.¹, Jung Yeul Kim, M.D.^1,^2,

Department of Ophthalmology, College of Medicine, Chungnam National University, Daejeon, Korea

Chungnam National University Research Institute for Medical Sciences Daejeon, Korea

Address reprint requests to Jung Yeul Kim, M.D. Department of Ophthalmology, Chungnam National University Hospital #640 Daesa-dong, Jung-gu, Daejeon 301-721, Korea Tel: 82-42-280-8433, Fax: 82-42-255-3745, E-mail: kimjy@cnu.ac.kr

Received 2 April 2008 Accepted 7 September 2007

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report a case of a full-thickness macular hole caused by Terson syndrome.

Case summary

A 49-year-old man presented to our clinic with decreased visual acuity in the right eye after a subarachnoid hemorrhage due to spontaneous rupture a middle cerebral artery aneurysm. On the first examination, the corrected visual acuity was hand movement in the right eye and 1.0 in the left eye. There was massive vitreous hemorrhage in the right eye. In the left eye, there was no abnormal ocular finding. He was diagnosed with vitreous hemorrhage due to Terson syndrome and waited for the spontaneous absorption of the vitreous hemorrhage. Six months later, the vitreous hemorrhage was considerably absorbed, but a macular hole was observed. OCT scans showed a full-thickness macular hole with an epiretinal membrane.

Keywords: Macular hole, Terson syndrome

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Figure 1.

Ultrasonograph shows vitreous hemorrhage of the right eye on the first examination.

Figure 2.

Fundus photograph shows a full-thickness macular hole with epiretinal membrane in the right eye at 6 months after the initial visit.

Figure 3.

Optical coherence tomography: Horizontal scan (A) and vertical scan (B) show a full-thickness macular hole and epiretinal membrane.

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