Sub-ILM Fibrosis Excision in Pediatric Terson Syndrome

A 15-month-old child without systemic disease was referred to the ophthalmology service in Puerto Rico 3 months after a motor-vehicle accident. Following the accident, the patient developed increased intracranial pressure secondary to intracranial hemorrhage and underwent an emergency craniotomy. After completion of the trauma hospitalization in Puerto Rico, the child was transferred to Bascom Palmer Eye Institute for care. Ophthalmologic evaluation was remarkable for a dense vitreous hemorrhage in the right eye and preretinal subinternal limiting membrane (ILM) foveal fibrosis in the left eye. Sequential same-day pars plana vitrectomy was performed. One month after surgery, no macular edema or epiretinal membrane formation was present in either eye. This is the first report of sub-ILM fibrosis excision in a case with Terson syndrome.