Terson综合症的玻璃体切割手术治疗(英文)

Vitrectomy for Terson syndrome

目的:报道并分析玻璃体切割手术治疗Terson综合症的临床疗效。方法:对15例Terson综合症患者(21眼)行玻璃体切割手术治疗并进行追踪观察,平均随诊时间为19.1mo。结果:手术中发现15眼(71.4%)出现了不完全性的玻璃体后脱离(PVD),7眼(33.3%)有视网膜前膜形成,4眼(19.0%)发生视网膜脱离。术后所有眼的视力均得到明显的改善,其中17眼(80.9%)视力达到或超过0.5;4眼(19.0%)发生晶状体混浊。结论:玻璃体切割手术治疗Terson综合症能显著提高视力,其并发症包括白内障等的发生率低。

AIM: To report the clinical results of vitrectomy for Terson syndrome.· METHODS: Twenty-one eyes of 15 patients with Terson syndrome underwent vitreous surgery with the mean follow-up of 19.1mo.· RESULTS: Incomplete posterior vitreous detachment (PVD) was found in 15 eyes (71.4 %), epiretinal membrane was formed in 7 eyes (33.3 %), and retinal detachment occurred in 4 eyes (19.0 %). Significant visual improvement occurred in all eyes after vitrectomy: visual acuity of 20/40 or better was achieved in 17 eyes (80.9 %) and 4 eyes (19.0 %) developed lens opacity.· CONCLUSION: Vitrectomy for Terson syndrome can provide good visual recovery, with low complication rate, including that of cataract.