玻璃体切割手术治疗Terson综合征的疗效分析

Effect of vitrectomy in treating Terson syndrome

目的:探讨玻璃体切割手术治疗Terson综合征的疗效。方法:伴有严重玻璃体积血的8例(11眼)Terson综合征患者,经保守治疗无效后进行玻璃体切割术治疗,术中根据视网膜情况进行剥膜和硅油填充术。观察并总结术后情况。结果:术后所有患者的视力均有明显提高,73%的病例术后视力≥0.5,2眼因术前存在严重的玻璃体视网膜增殖性病变和视网膜脱离,术后视力低于0.1。结论:玻璃体切割术是治疗严重Terson综合征的有效手段,大部分患者术后视力恢复较好,但增殖性病变严重的患者术后视力欠佳。

AIM： To explore the effect of vitrectomy in treating Terson syndrome. METHODS： Eight cases （11 eyes） of Terson syndrome with severe vitreous hemorrhage were performed vitrectomy since conservative treatment did not show effect on them. Membrane peeling and silicone oil tamponade were applied when needed. The outcomes of these cases were observed and summarized. RESULTS： All the cases had obvious improvement of visual acuity （VA）, in which 73% had VA better than 0.5. The postoperative VA of two eyes were lower than 0. 1 because of pre-existing proliferative vitreoretinal diseases and retinal detachment. CONCLUSION： Vitrectomy is an effective approach in treating severe Terson syndrome. Most of the cases indicate good visual outcome. However, the cases with severe proliferation have poor outcome.