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Images in clinical practice
Terson’s syndrome following a gunshot wound to the head
  1. James Bapty1,
  2. T Lupion Duran2,
  3. B Carra3,
  4. P R Maloney4 and
  5. A Gibson2
  1. 1Department of Emergency Medicine, Portsmouth Hospitals University NHS Trust, Portsmouth, UK
  2. 2Department of Ophthalmology, James Cook University Hospital, Middlesbrough, UK
  3. 3Department of Radiology, Wright-Patterson Air Force Base Medical Center, Wright-Patterson Air Force Base, Ohio, USA
  4. 4Department of Neurosurgery, University of California San Francisco, San Francisco, California, USA
  1. Correspondence to Dr James Bapty, Portsmouth Hospitals University NHS Trust, Portsmouth, UK; bapty.jb{at}gmail.com

https://doi.org/10.1136/military-2022-002337

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    Terson’s syndrome (TS) is now defined as any kind of intraocular haemorrhage in patients suffering from subarachnoid haemorrhage (SAH), intracerebral haemorrhage or traumatic brain injury (TBI).1 We herein describe a case of vitreous haemorrhage (VH) following a gunshot wound (GSW) to the orbital roof as a novel example of TS.

    A 31-year-old Afghan National Army man presented following a firefight where he sustained a GSW to the left eyebrow (Figure 1). He was conscious but exhibited mild disorientation following the injury, with a Glasgow Coma Scale score of 14. He was also aware of decreased vision in the left eye. Subsequently, he was evacuated to a role 3 medical facility at Bagram Airfield, where he underwent radiological examination …

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    Footnotes

    • Twitter @baptyjames

    • Contributors All authors contributed sufficiently to be listed as authors.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.