[Indications and results of vitrectomy in terson syndrome]

Terson syndrome or vitreal hemorrhage associated with subdural hemorrhage is a rare condition. The goal of our work through a retrospective series of 3 cases [4 eyes] is to study clinical characteristics as well as adequate moment of surgery. All our patients had unilateral or bilateral visual impairement secondary to cerebral lesion. Ophtalmologic exam showed an intravitreal hemorrhage. Two of our patients were operated by vitrectomy, the third case had a spontaneous resorption of intravitreal hemorrhage and no surgery was performed. Functional prognosis depends on neuro-ophtalmologic sequellas. Ophtalmic exam is essential in cerebral hemorrhage. For intravitreal hemorrhage spontaneous resorption is frequent and vitrectomy must be delayed

Etiologies et aspects angiographiques des neovaisseaux sous retiniens

Subretinal neovascularization [SRNV] were a severe disease which could threaten seriously visual function. They were often confined to the vicinity of the fovea and in spite of laser treatment recurrence and blindness were very frequent. Full ophthalmologic examination and fluorescein angiography were performed in thirty nine eyes of twenty seven patients with SRNV - SRNV were unilateral in fifteen cases. Laser treatment was achieved in 24% of cases. Age related macular degeneration [ARMD] and high myopia were the main etiology. Fluorescein angiography allowed to diagnosis of defined SRNV in 92% of cases: 52% at early stages and 40% at glial fibrosis scars. Occult SRNV were noted in the remain cases. 60% of patients had legal blindness. The importance of early angiogrpahy and urgent laser treatment to avoid blindness are raised