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Vitrectomy in two cases of bilateral Terson syndrome
Documenta Ophthalmologica. Advances in Ophthalmology
|December 15, 1983
Summary
Terson syndrome, a complication of subarachnoid hemorrhage, can cause vitreous hemorrhage. Vitrectomy surgery offers vision recovery for many affected eyes, though complications like fibrosis and detachment may require further intervention.
Area of Science:
- Ophthalmology
- Neurology
Background:
- Subarachnoid hemorrhage (SAH) can lead to Terson syndrome, characterized by vitreous hemorrhage.
- Bilateral vitreous hemorrhage presents a significant visual threat in SAH patients.
Observation:
- Two patients with Terson syndrome following SAH were treated with vitrectomy.
- Four eyes with vitreous hemorrhage underwent surgical intervention.
Findings:
- Complete visual recovery was achieved in three out of four eyes post-vitrectomy.
- One eye experienced preretinal fibrosis, resulting in reduced visual acuity (1/6).
- A patient with initial 20/20 vision developed a retinal detachment two months post-surgery, which was successfully managed without further vision loss.
Implications:
- Vitrectomy is an effective treatment for visual impairment caused by Terson syndrome.
- Ophthalmologists should monitor patients for delayed complications such as retinal detachment after SAH.
- Prompt surgical management can preserve vision in complex cases of Terson syndrome.