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Terson syndrome: a case report suggesting the mechanism of vitreous hemorrhage.

Ophthalmology 2001 September
OBJECTIVE: To present a patient with Terson syndrome and to propose a mechanism for vitreous hemorrhage.

DESIGN: Observational case report.

PARTICIPANT: A 50-year-old woman with subarachnoid hemorrhage and unilateral vitreous hemorrhage.

METHODS: Detailed examination with fluorescein angiography and funduscopy.

MAIN OUTCOME MEASURES: Site of dye leakage on fluorescein angiography in the eye with vitreous hemorrhage.

RESULTS: Fluorescein angiography showed the leakage site at the margin of the disc in the eye with vitreous hemorrhage after the vitreous hemorrhage had been removed.

CONCLUSIONS: The damage to peripapillary tissues demonstrated by fluorescein leakage suggests that intracranial hypertension affects peripapillary structures through the intervaginal space of the optic nerve sheath.

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