Oftalmol Zh.2009;3:55-59.
http://doi.org/10.31288/oftalmolzh200935559
TREATMENT OF VITREOUS HEMORRHAGE WITH INTERNAL LIMITING MEMBRANE DETACHMENT IN TERSON SYNDROME
Krasnovid T. A., Sidak-Petretskaya O. S., Narovchenko T. V.
Odessa, Ukraine
Terson syndrome is a combination of vitreal hemorrhage with intracranial hemorrhage. Four patients had unilateral visual impairement secondary to intravitreal hemorrhage associated with internal limiting membrane (ILM) detachment. ILM detachment was approved by ultrasonography and OCT. All patients received a therapy first. Two cases had a spontaneous resorption of intravitreal hemorrhage and one of them attachment of ILM, so no surgery was performed. Two of our patients were operated by vitrectomy. Third case had a resistant ILM detachment after vitrectomy and fourth one had a macular edema after vitrectomy with ILM peeling. Our study suggests using a therapy first before vitrectomy and further clinical trials for the ILM peeling efficiency in Terson syndrome.
References
1.Вит В. В. Строение зрительной системы человека: Учеб. пос. — Одесса: Астропринт, 2003. — 664 с.
2.Augsten R., Konigsdorffer E., Strobel J. Surgical approach in terson syndrome: vitreous and retinal findings // Eur. J. Ophthalmol. — 2000. — Vol. 10. — P. 293-296.
3.Augsten R., Konigsdorffer E. Terson syndrome-a contribution to the timing of operation for pars plana vitrectomy // Klin. Monatsbl. Augenhielkd. — 2007. — Vol. 224. — P. 674-677.
4.Castano-Duque C. H., Pons-Irazazabal L. C., Lopez-Moreno J. L. Subarachonoid hemorrhage associated to subhyaloid hemorrhage: «Terson syndrome» // Rev. Neurol. — 1997. — Vol. 25. — P. 1081-1083.
5.Ducournau D. ILM Peeling comes of age // Ophthalmology Times Europe. — 2008. — Vol. 4. — P. 13-17.
6.Friedman S. M., Margo C. E. Bilateral subinternai limiting membrane hemorrhage with Terson syndrome // Am. J. Ophthalmol. — 1997. — Vol. 124. — P. 850851.
7.Garfinkle A. M., Danys I. R., Nicolle D. A. et al. Terson's syndrome: a reversible cause of blindness following subarachnoid hemorrhage // J. Neurosurg. — 1992. — Vol. 76. — P. 766-771.
8.Garweg J. G., Koerner F. Outcome indicators for vitrectome in Terson syndrome // Acta Ophthalmol. — 2009. — Vol. 87. — P. 222-226.
9.Gauntt C. D., Sherry R. G., Kannan C. Terson syndrome with bilateral optic nerve sheath hemorrhage // J. Neuroophthalmol. — 2007. — Vol. 27. — P. 193-194.
10.Meier P., Wiedemann P. Vitreous and fundus changes in Terson syndrome. 3 case reports // Klin. Monatsbl. Augenheilkd. — 1996. — Vol. 209. — P. 244-248.
11.Meier P., Schmitz F., Wiedemann P. Vitrectomy for premacular hemorrhagic cyst in children and young adults // Graefes Arch Clin. Exp. Ophthalmol. — 2005. — Vol. 243. — P. 824-828.
12.Nacef L., Zghal-Mokni I., Allagui I. et al. Indications and results of vitrectomy in Terson syndrome // Tunis. Med. -2004. - Vol. 82. - P. 461-464.
13.Ogawa T., Kitaoka T., Dake Y., Amemiya T. Terson syndrome: a case report suggesting the mechanism of vitreous hemorrhage // Ophthalmology. - 2001. - Vol. 108. -P. 1654-1656.
14.Ritland J. S., Syrdalen P., Eide N. et al. Outcome of vitrectomy in patients with Terson syndrome // Acra Ophthalmol. Scand. - 2002. - Vol. 80. - P. 172-175.
15.Velikay M., Datlinger P., Stolba U. et al. Retinal detachment with severe proliferative vitreoretinopathy in Terson syndrome // Ophthalmology. - 1994. - Vol. 101. - P. 35-37.
16.Wietholter S., Steube D., Stotz H. P. Terson syndrome: a frequently missed ophthalmologic complication in subara-chonoid hemorrgage // Zentralbl. Neurochir. - 1998. - Vol. 59. - P. 166-170.
17.Yokoi M., Kase M., Hyodo T. et al. Epiretinal membrane formation in Terson syndrome // Jpn. J. Ophthalmol. -1997. - Vol. 41. - P. 168-173.