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[Terson syndrome. Complicated clinical course].

W Daus1, B Käsmann, E Alexandridis

  • 1Universitäts-Augenklinik Heidelberg.

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|February 1, 1992
PubMed
Summary
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Terson's syndrome, characterized by subarachnoidal bleeding and vitreous hemorrhage, can resolve spontaneously. Surgical intervention for persistent or secondary vitreous bleeding may lead to complications like retinal detachment.

Area of Science:

  • Ophthalmology
  • Neurology

Background:

  • Terson's syndrome involves subarachnoidal hemorrhage (SAH) and vitreous hemorrhage (VH).
  • This report details three cases of Terson's syndrome, highlighting varied clinical presentations and management challenges.

Observation:

  • Two patients experienced unilateral VH with spontaneous resorption within 15 months.
  • One patient developed bilateral VH with initial resorption, followed by secondary bleeding requiring vitrectomy.
  • Post-vitrectomy complications included reproliferations, retinal tears, and retinal detachment, successfully treated surgically.

Findings:

  • Spontaneous resorption is common in unilateral VH associated with SAH.
  • Secondary vitreous bleeding can occur in bilateral cases, necessitating intervention.
  • Vitrectomy, while sight-saving, carries risks of reproliferations and retinal detachment.

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Implications:

  • Conservative management is recommended for unilateral VH in Terson's syndrome.
  • Early pars plana vitrectomy may be considered for bilateral VH with delayed resorption or secondary bleeding.
  • Close monitoring for complications is crucial after surgical intervention for Terson's syndrome.