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    General

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    Grand Rounds

    A patient with no significant past ocular history presents to the emergency department for blurred vision noticed during a recent hospital admission. The patient was recently found to have intracranial hemorrhage and anterior cerebral artery aneurysm on a CTA brain after presenting for headache. He had coiling done with neurosurgery 3 weeks prior to presentation, however, subsequent scan showed refilling of aneurysm and worsening midline shift, repeat coiling was performed. He was admitted to the neuro-ICU for monitoring. He was eventually discharged and told to present to the Bascom Palmer Emergency room for blurred vision. Examination revealed vitreous hemorrhage in both eyes overlying the macula with normal appearing peripheral retina. OCT showed sub-hyaloid hemorrhage in the right eye, while the left retina was relatively preserved. B scan ultrasonography was performed without evidence of retinal tear, only showing mobile vitreous opacities in both eyes. Overall, given the patient’s history, clinical presentation, and multimodal imaging, the diagnosis was most consistent with Terson Syndrome.

    Presentation Date: 03/19/2026
    Issue Date: 03/27/2026

    • Presenter: Bryant A. Menke, MD URL
    • Discussant: Lauren C. Kiryakoza, MD URL

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