23G微创玻璃体切割术治疗Terson综合征的疗效观察

Observation of therapeutic effect of 23G micro invasive vitrectomy in treating Terson syndrome

目的:探讨23G微创玻璃体切割术治疗Terson综合征的疗效。方法:对伴有严重玻璃体积血的6例11眼Terson综合征患者在保守治疗无效后行23G微创玻璃体切割术,术中根据视网膜情况行剥膜或硅油填充,观察术后视力、视网膜及并发症情况。结果:术后所有患者的视力均有明显提高,11眼中8眼(73%)术后视力≥0.5,1眼(9%)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:23G微创玻璃体切割术是治疗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,对于Terson综合征在保守治疗无效的情况下建议早期行23G微创玻璃体切割术干预。

AIM： To observe the effect of 23G micro invasive vitrectomy in treating Terson syndrome. METHODS： Six cases （ 11 eyes ） of Terson syndrome with severe vitreous hemorrhage were performed 23G micro invasive vitrectomy since conservative treatment did not show effect on them. Membrane peeling and silicone oil tamponade were applied according to the retinal conditions.We observed the postoperative visual acuity （ VA） , retina and complications. RESULTS： All the cases had obvious improvement of postoperative VA,in which 8 eyes in 11 （ 73%） was better than 0.5.The postoperative VA of one eye （ 9%） were less than 0.1 because of pre -existing proliferative vitreoretinal diseases and retinal detachment. CONCLUSION： 23G micro invasive vitrectomy is an effective approach in treating Terson syndrome.Most of the cases indicate good visual outcome.However, the cases with severe proliferation have poor outcome.We recommend performing an early 23G micro invasive vitrectomy for the failure of conservative treatment in Terson syndrome.