Terson Syndrome in Two Infants: Case Report and Literature Review

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.