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[Pars plana vitrectomy in Terson's syndrome]

I Karel1, K Gergelyová

  • 1II. ocní klinika 1. LF UK, Praha.

Ceska a Slovenska Oftalmologie : Casopis Ceske Oftalmologicke Spolecnosti a Slovenske Oftalmologicke Spolecnosti
|February 1, 1995
PubMed
Summary

Pars plana vitrectomy (PPV) effectively treats Terson

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Area of Science:

  • Ophthalmology: Focuses on the surgical treatment of vitreous hemorrhage.

Context:

  • Terson's syndrome, characterized by vitreous hemorrhage, often necessitates surgical intervention.
  • Pars plana vitrectomy (PPV) is a standard surgical procedure for various retinal conditions.

Purpose:

  • To evaluate the efficacy and safety of Pars Plana Vitrectomy (PPV) as a surgical treatment for Terson's syndrome.

Summary:

  • Pars plana vitrectomy (PPV) was performed on 7 eyes of 5 patients diagnosed with Terson's syndrome, with a follow-up period ranging from 12 to 84 months.
  • The study found that PPV achieved a final visual acuity of 0.7-1.0 in 87% of eyes, with one eye experiencing reduced acuity due to macular defects.
  • Retinal detachment occurred postoperatively in two eyes, highlighting the importance of cerclage during PPV for Terson's syndrome to prevent iatrogenic retinal detachment.

Impact:

  • Pars plana vitrectomy (PPV) is established as the preferred surgical treatment for Terson's syndrome, particularly in cases of bilateral or massive unilateral vitreous hemorrhage.
  • The inclusion of cerclage during PPV is crucial for preventing iatrogenic retinal detachment, thereby improving surgical outcomes.

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