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Letter
Ophthalmic artery occlusion following pars plana vitrectomy in a patient with Terson's syndrome
  1. W Saito1,
  2. S Yamamoto1,
  3. S Takeuchi1,
  4. Y Mitamura2
  1. 1Department of Ophthalmology, Toho University Sakura Hospital, Japan
  2. 2Department of Ophthalmology, Sapporo Medical University, Japan
  1. Correspondence to: Shuichi Yamamoto, MD, Department of Ophthalmology, Toho University Sakura Hospital, 564-1 Shimoshizu, Sakura, Chiba 285-8741, Japan; shuyama{at}med.toho-u.ac.jp

https://doi.org/10.1136/bjo.86.9.1063-a

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    Acute ophthalmic artery occlusion is rare and results in severe ocular dysfunction. We report a patient with Terson’s syndrome who developed an acute ophthalmic artery occlusion after pars plana vitrectomy.

    Case report

    A 39 year old man suffered a stroke from a subarachnoid haemorrhage on 15 August 2000 and had clipping surgery for a brain aneurysm. The patient presented 3 weeks later, complaining of loss of vision in both eyes. He had had hypertension for 10 years and his sister had a subarachnoid haemorrhage and a cerebral infarction. Visual acuity was hand movements in both eyes, and the intraocular pressure was 10 mm Hg in both eyes. Slit lamp and ophthalmoscopic examination disclosed dense vitreous haemorrhage in both eyes, and the retinas were not visible. B-mode echography detected intravitreous haemorrhage and an incomplete posterior vitreous detachment but the retina was …

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