Foulsham William, North Victoria S, Botsford Benjamin W, Dinkin Marc J, Henderson Fraser, Godfrey Kyle J, D'Amico Donald J, Schwartz Theodore H, Orlin Anton
Department of Ophthalmology, Weill Cornell Medical College, New York, NY, USA.
Department of Neurology, Weill Cornell Medical College, New York, NY, USA.
Am J Ophthalmol Case Rep. 2022 Apr 23;26:101556. doi: 10.1016/j.ajoc.2022.101556. eCollection 2022 Jun.
To report a case of multilayered intraocular hemorrhage at the posterior pole as a complication of transorbital neuroendoscopic surgery.
Our patient underwent an uncomplicated endoscopic transorbital resection of a left sphenoid wing meningioma. In the immediate post-operative period, the patient reported blurred vision of her left eye, and dilated fundus examination demonstrated multilayered hemorrhages at the posterior pole. No intracranial hemorrhage was identified on post-operative imaging. Due to persistent subnormal visual acuity and non-clearing hemorrhage over several weeks of follow-up, a pars plana vitrectomy with peeling of the internal limiting membrane was performed to clear the hemorrhagic component obscuring the macula.
We report the first case of multilayered intraocular hemorrhages at the posterior pole, mimicking Terson syndrome, in the absence of intracranial hemorrhage or elevated intracranial pressure as a complication of transorbital surgery.
报告1例经眶神经内镜手术并发症——后极部多层眼内出血的病例。
我们的患者接受了左侧蝶骨嵴脑膜瘤的内镜经眶切除术，手术过程顺利。术后即刻，患者自述左眼视力模糊，散瞳眼底检查显示后极部有多层出血。术后影像学检查未发现颅内出血。由于随访数周视力持续低于正常且出血未吸收，遂行玻璃体切除术并剥除内界膜，以清除遮挡黄斑的出血成分。
我们报告了首例经眶手术并发症，表现为后极部多层眼内出血，酷似Terson综合征，但无颅内出血或颅内压升高。
