Foulsham W, North VS, Botsford BW, Dinkin MJ, Henderson F, Godfrey KJ, D'Amico DJ, Schwartz TH, Orlin A. Multilayered macular hemorrhages as an unusual complication of transorbital neuroendoscopic surgery.
Am J Ophthalmol Case Rep 2022;
26:101556. [PMID:
35514795 PMCID:
PMC9062224 DOI:
10.1016/j.ajoc.2022.101556]
[Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Revised: 04/12/2022] [Accepted: 04/20/2022] [Indexed: 12/02/2022] Open
Abstract
Purpose
To report a case of multilayered intraocular hemorrhage at the posterior pole as a complication of transorbital neuroendoscopic surgery.
Observations
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.
Conclusions and Importance
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.
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