A CASE OF TERSON'S SYNDROME SUPPORTING CISTERNAL ANATOMY OF THE VITREOUS

Title A CASE OF TERSON'S SYNDROME SUPPORTING CISTERNAL ANATOMY OF THE VITREOUS
Author, Co-Author Robert Austin
Topic
Year
2000
Day
Saturday
Program Number
Poster 40
Room
Northern Hemisphere C-D
Affiliation
State University of New York
Abstract In accordance with routine procedure for newly admitted patients, a 33-year-old Hispanic male presented for an eye exam at a long-term-care rehabilitative hospital. He had been transferred from an acute-care hospital after craniotomy with evacuation of a hematoma caused by a gun shot wound to the back of the head about 8 weeks beforehand. Among other complications, he reported poor but improving vision O.S. after being shot. Uncorrected visual acuities were 20/25 O.D. and O.S. Pupils were equally round and reactive to light without an afferent defect. Dilated fundus examination revealed a hemorrhage in the nasal half of the vitreous O.S. B-scan ultrasonography showed dense reflection emanating from the optic nerve head O.S. Automated screening visual fields revealed scattered defects O.U. with almost complete temporal field loss O.S. The curious aspect of this case of Terson's syndrome was that the vitreal hemorrhage occurred in exactly the nasal half of the vitreous, "sparing" the macula, without diffusing throughout the entire vitreous. This is likely due to the cisternal anatomy of the vitreous, which is reviewed after a brief description of Terson's syndrome.
Affiliation of Co-Authors
Outline