PRESENTING AUTHOR

To report a case of a premature newborn who developed Terson's syndrome, a rare but significant condition, thereby increasing awareness and knowledge about it.

Case 1: Fem 32w, NICU for 20 days, examination under dilatation: OD with ROP 1 Zone III, OS: vitreous with opacity due to grade III hemorrhage, later on OD regression, and with systemic stability and cardiovascular evaluation, it was decided to perform posterior vitrectomy of OS.
Case 2: Fem 27w, NICU for 24 days, examination under dilatation: grade III vitreous hemorrhage in the right eye and grade IV in the left eye.

Among the etiologies of Terson's syndrome are severe intracerebral bleeding, cranioencephalic trauma, battered child syndrome, and cerebral aneurysm, as observed in both cases that presented intracranial hemorrhage, the theory regarding this presentation is that the blood passes directly compressed through the optic nerve sheath at the same time as the subarachnoid hemorrhage, by venous hypertension and disruption of the retinal veins.

It is of utmost importance that when Terson syndrome is detected in a premature newborn, all possible causes are managed, so the management of these babies will be multidisciplinary, and once the other specialties have given their approval, we will perform surgical management of the intraocular hemorrhage if necessary, since this syndrome leads to a series of subsequent ocular complications.