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

J Korean Ophthalmol Soc. 2008 Jul;49(7):1194-1197. Korean.
Published online July 20, 2008.
Copyright © 2008 The Korean Ophthalmological Society
Full Thickness Macular Holes Associated with Terson Syndrome
Sung Bok Lee, M.D.,1,2 Sang Hyuk Kim, M.D.,1 and Jung Yeul Kim, M.D.1,2
1Department of Ophthalmology, College of Medicine, Chungnam National University, Daejeon, Korea.
2Chungnam 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, Email:
Received September 07, 2007; Accepted April 02, 2008.



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


Figure 1
Ultrasonograph shows vitreous hemorrhage of the right eye on the first examination.
Click for larger image

Figure 2
Fundus photograph shows a full-thickness macular hole with epiretinal membrane in the right eye at 6 months after the initial visit.
Click for larger image

Figure 3
Optical coherence tomography: Horizontal scan (A) and vertical scan (B) show a full-thickness macular hole and epiretinal membrane.
Click for larger image

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