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Surgical approach in terson syndrome: vitreous and retinal findings
R Augsten1, E Königsdörffer, J Strobel
1Department of Ophthalmology, Friedrich Schiller University of Jena, Germany.
Purpose:
To report some interesting findings in patients with bilateral Terson syndrome.
Methods:
We describe six eyes from three patients with Terson syndrome. Pars plana vitrectomy was performed in one eye twelve weeks, and in four eyes six months after the acute event. In one eye blood was suddenly spontaneously absorbed after four months.
Results:
The four eyes operated six months after injury showed severe complications and final visual acuity was between light perception and 0.6. The eye with surgical attendance twelve weeks after the acute injury had an uneventful course, and final visual acuity was 0.7.
Conclusions:
Because of severe ocular complications and with a view to early rehabilitation, vitrectomy has been recommended for eyes with bilateral Terson syndrome, without spontaneous blood resorption. Surgery should be performed in at least one eye not later than four to eight weeks after the acute injury.