Alobaid Muhannad M, Alhaidari Abdulmajeed I, Adhi Mohammad I, Nabeel Refka Mohammed
Ophthalmology, Prince Sultan Military Medical City, Riyadh, SAU.
Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, SAU.
Cureus. 2024 Dec 4;16(12):e75102. doi: 10.7759/cureus.75102. eCollection 2024 Dec.
We report the presentation and outcome of Terson syndrome in four eyes of two infants in a tertiary hospital in Saudi Arabia. This is a retrospective report of two infants with Terson syndrome due to accidental traumatic head injuries. Intraoperative screenshots of the posterior pole were taken for both cases. A 4-month-old healthy boy had Terson syndrome following a motor vehicle accident. The patient underwent pars plana vitrectomy (PPV) for both eyes. Eventually, he had poor visual outcomes due to macular scars, sclerosed retinal vessels, and a thick internal limiting membrane (ILM). The other case was a 10-month-old boy who had Terson syndrome after recurrent falls. The patient underwent PPV for both eyes. Later, the patient's left retina was detached which required another intervention. Both eyes had peripapillary atrophy and epiretinal fibrosis. Terson syndrome is an uncommon condition in the pediatric population. Generally, patients with Terson syndrome have good visual outcomes. In this case report, we describe an incidence of Terson syndrome in two infants following traumatic head injuries who had poor visual outcomes after surgical intervention due to macular scars, posterior pole fibrosis, sclerosed retinal vessels, and optic disc atrophy.
我们报告了沙特阿拉伯一家三级医院中两名婴儿四只眼睛的Terson综合征的表现及预后情况。这是一份关于两名因意外头部外伤导致Terson综合征婴儿的回顾性报告。对这两个病例均拍摄了后极部的术中截图。一名4个月大的健康男孩在机动车事故后出现Terson综合征。该患者双眼接受了玻璃体切除术（PPV）。最终，由于黄斑瘢痕、视网膜血管硬化和内界膜（ILM）增厚，其视力预后较差。另一例是一名10个月大的男孩，在反复跌倒后出现Terson综合征。该患者双眼接受了PPV。后来，患者的左眼视网膜脱离，需要再次干预。双眼均有视乳头周围萎缩和视网膜前纤维化。Terson综合征在儿科人群中并不常见。一般来说，Terson综合征患者视力预后良好。在本病例报告中，我们描述了两名婴儿在头部外伤后发生Terson综合征的情况，他们在手术干预后因黄斑瘢痕、后极部纤维化、视网膜血管硬化和视盘萎缩而视力预后较差。
