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February 27, 2026TNOA Journal of Ophthalmic Science and Research0 citationsOpen Access

Head Trauma, Hidden Haemorrhage: The Role of Early Vitrectomy in Terson Syndrome

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DSDhaivat ShahPPParnavi PanditAKAfrin Khan

Key Points

  • To highlight the role of early vitrectomy in treating Terson syndrome following head trauma.
  • Case report of a young male patient after a road traffic accident
  • Performed pars plana vitrectomy with ILM peeling
  • Evacuated sub-ILM haemorrhage
  • Achieved excellent anatomical recovery
  • Significant visual recovery observed
  • Prevented potential irreversible visual loss

Abstract

Abstract We report the case of a young male patient, who developed dense multilayered vitreoretinal haemorrhage, including sub-internal limiting membrane (ILM) and subhyaloid haemorrhage, following a road traffic accident with associated subarachnoid haemorrhage. Prompt pars plana vitrectomy (PPV) with ILM peeling and evacuation of sub-ILM haemorrhage resulted in excellent anatomical and visual recovery. The case highlights the importance of early surgical intervention in post-traumatic haemorrhagic retinopathy to prevent phototoxic damage and irreversible visual loss.

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Cite This Study

Shah et al. (2026) studied this question.

synapsesocial.com/papers/69a13591ed1d949a99abf90bhttps://doi.org/10.4103/tjosr.tjosr_180_25
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