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[Vitreous and fundus changes in Terson syndrome. 3 case reports]
1Klinik und Poliklinik für Augenheilkunde Universität Leipzig.
Klinische Monatsblatter Fur Augenheilkunde
|October 1, 1996
Summary
Terson syndrome involves intraocular hemorrhages due to increased intracranial pressure. Surgical intervention for Terson syndrome may reveal retinal folds, but spontaneous blood resorption often improves vision.
Area of Science:
- Ophthalmology
- Neurology
Background:
- Terson syndrome is characterized by intraocular hemorrhages linked to sudden intracranial pressure increases.
- Hemorrhages can manifest in various intraocular spaces, including subretinal, intraretinal, and vitreous cavities.
Observation:
- A case series involving three eyes from two patients with Terson syndrome and vitreous hemorrhages.
- One patient presented with a preretinal macular hemorrhage.
Findings:
- Pars plana vitrectomy in two eyes revealed a membrane over the macula, which, upon stripping, exposed a 360-degree retinal fold.
- Spontaneous resorption of premacular and intrahyaloidal hemorrhages occurred within 5 months in one eye, with all eyes achieving 1.0 visual acuity.
Implications:
- While spontaneous resorption is common in Terson syndrome, pars plana vitrectomy may be necessary.
- Potential postoperative findings include perimacular retinal folds or fibrotic lines, typically without clinical significance.