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Clinical observations and considerations in the treatment of Terson syndrome using 23G vitrectomy

International ophthalmology, 2020-09, Vol.40 (9), p.2185-2190 [Peer Reviewed Journal]

Springer Nature B.V. 2020 ;Springer Nature B.V. 2020. ;ISSN: 0165-5701 ;EISSN: 1573-2630 ;DOI: 10.1007/s10792-020-01399-0 ;PMID: 32377886

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Title:
Clinical observations and considerations in the treatment of Terson syndrome using 23G vitrectomy
Author: Ju, Chengqun ; Li, Shanshan ; Huang, Chao ; Li, Ying ; kyungwan, Hong ; Zhou, Fang ; Li, Jianqiao
Subjects: Acuity ; Angiography ; Blood ; Blood vessels ; Complications ; Connective tissues ; Eye ; Eye (anatomy) ; Health services ; Hemorrhage ; Image acquisition ; Intracranial pressure ; Intraocular pressure ; Medical imaging ; Medicine ; Medicine & Public Health ; Membranes ; Ophthalmology ; Optical Coherence Tomography ; Optical fibers ; Original Paper ; Pathogenesis ; Patients ; Retina ; Staining ; Surgery ; Tomography ; Visual acuity ; Visual observation
Is Part Of: International ophthalmology, 2020-09, Vol.40 (9), p.2185-2190
Description: Purpose This retrospective study analyzed the results of 23G vitrectomy for the treatment of intraocular hemorrhage in patients with Terson syndrome. The pathogenesis of Terson syndrome and the timing of vitrectomy are discussed. Methods Eight eyes of eight patients were included in the study. Intrasurgical images were acquired, and membranes peeled off during surgery were subjected to pathological staining. Postoperative examination included visual acuity, intraocular pressure, funduscopy, and optical coherence tomography angiography. Results The course of visual impairment in the patients ranged from < 1 to 5 months; visual acuity ranged from light perception to 20/1000. Surgeries in the eight patients were all successful, and no severe complications were observed. Visual acuity improved in each operative eye. Pathological staining revealed only fibrous connective tissue, and no nerve fibers in the membranes peeled off during surgery. Optical coherence tomography angiography revealed no changes in blood vessel density in the inner layer of the retina of the operative eye compared with the non-operative eye in each patient. Conclusions Timely surgical intervention is necessary for the treatment of intraocular hemorrhage in patients with Terson syndrome. Clinical findings support the theory that intraocular blood results from stasis or rupture of retinal superficial peripapillary vessels caused by elevated intracranial pressure.
Publisher: Dordrecht: Springer Netherlands
Language: English
Identifier: ISSN: 0165-5701
EISSN: 1573-2630
DOI: 10.1007/s10792-020-01399-0
PMID: 32377886
Source: AUTh Library subscriptions: ProQuest Central

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Clinical observations and considerations in the treatment of Terson syndrome using 23G vitrectomy

Springer Nature B.V. 2020 ;Springer Nature B.V. 2020. ;ISSN: 0165-5701 ;EISSN: 1573-2630 ;DOI: 10.1007/s10792-020-01399-0 ;PMID: 32377886

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