Incidence and Postoperative Visual Outcome of Terson's Syndrome

ABSTRACT

PURPOSE: The purpose of the study A was to determine the incidence of Terson's syndrome. The purpose of the study B was to assess the outcome of vitrectomy for Terson's syndrome. METHODS: In the study A, We have examined fundus by direct ophthalmoscope in 96 eyes of 62 persons with subarachnoid hemorrhage, subdural hemorrhage and epidural hemorrhage from March 2000 to June 2001. If we needed more examination, further evaluation was performed. In the study B. We have examined 8 eyes with Terson's syndrome retrospectively from 1997 to 2000. Visual outcome of operation was examined. RESULTS: A. The incidence of Terson's syndrome was 4.3% (4 eyes by 96eyes). Other ophthalmic findings were retinal hemorrhage (1 eye), central retinal artery occlusion (1 eye) and optic atrophy (1 eye). B. The final visual acuity was over 0.5 in 5 of 8 eyes and Visual acuity improved at a full cases postoperatively. CONCLUSIONS: The incidence of Terson's syndrome was 4.3%. The final visual acuity of Terson's syndrome was relatively good. Therefore, We must closely examine the fundus of patient with subarachoid hemorrhage, subdural hemorrhage and epidural hemorrhage patients. and We can also perform vitrectomy for vitreous hemorrhage, if Terson's syndrome is suspected.