Terson's syndrome: surgical outcome in relation to entry site pathology

25G compared with 20G vitrectomy under Resight non-contact wide-angle lenses for Terson syndrome

“…Terson syndrome now encompasses any intraocular hemorrhage associated with intracranial hemorrhage and elevated intracranial pressures (2)(3)(4), which often results in significant morbidity and subsequent decreased quality of life. Vitrectomy has been proposed to have a role in treating Terson syndrome, and numerous studies have reported good visual recovery following surgery (5)(6)(7)(8). However, those studies were predominantly related to conventional 20G vitrectomy.…”

Terson Syndrome: A Review of the Literature

“…Vitrectomy for the management of Terson syndrome has been associated with complications which include breaks at the entry site, retinal detachment, phthisis bulbi, epiretinal membranes, and cataract formation. 10,12,28,40,74,77 These complications may require further surgical intervention and can result in poor visual outcomes. Ritland et al 40 found that many eyes that experienced severe postoperative complications already had poor visual acuity and significant pathology before surgical intervention.…”

“…Vitrectomy for the management of Terson syndrome has been associated with complications which include breaks at the entry site, retinal detachment, phthisis bulbi, epiretinal membranes, and cataract formation 10,12,28,40,74,77 . These complications may require further surgical intervention and can result in poor visual outcomes.…”

Vitreoretinal Surgery

“…Patients with subarachnoid haemorrhage from intracerebral aneurysms may develop intraocular bleeds (Terson 1900 ;van Rens et al 1983 ;Weingeist et al 1986 ;Schultz et al 1991 ;Kuhn et al 1998 ;Murjaneh et al 2006 ;Garweg and Koerner 2009 ) . Histopathology has shown haemorrhage in the vitreous, subhyloid, sub-ILM, intraretinal and in the optic nerve and the optic nerve sheath.…”

“…Histopathology has shown haemorrhage in the vitreous, subhyloid, sub-ILM, intraretinal and in the optic nerve and the optic nerve sheath. A high rate of entry site breaks have been reported after PPV surgery (Murjaneh et al 2006 ) . The hyaloid is often attached during surgery, sub-ILM blood can be evacuated, but the retina may suffer damage from the blood or from subretinal or intraretinal bleeds.…”