Michalewska Zofia, Michalewski Janusz, Nawrocki Jerzy
Klinika Okulistyczna Jasne Blonia, ul. Rojna 90, Lodz, Poland.
Ophthalmic Surg Lasers Imaging. 2010 Nov-Dec;41 Suppl:S42-9. doi: 10.3928/15428877-20101031-15.
To present spectral domain optical coherence tomography (SD-OCT), scanning laser ophthalmoscopy, and intraoperative images showing possible pathways of blood entrance into the eye and ways in which it may spread inside the eye in Terson syndrome.
Nine eyes of 5 patients with Terson syndrome underwent pars plana vitrectomy. Surgeries were recorded and analyzed afterward. SD-OCT and scanning laser ophthalmoscopy examinations were performed after surgery.
Visual acuity improved in all cases. SD-OCT three-dimensional mode improved visualization of the internal limiting membrane (ILM), possibly due to sub-ILM blood spreading detachment near the macula and optic disc. Scanning laser ophthalmoscopy revealed blood spreading along vessels and blood under the retina was observed intraoperatively.
SD-OCT, scanning laser ophthalmoscopy, and intraoperative images show that blood may enter the vitreous cavity around the retinal vessels near the optic disc. Inside the eye, the blood may spread intraretinally, sub-ILM, or along the retinal vessels.
展示频域光学相干断层扫描（SD - OCT）、扫描激光检眼镜检查结果以及术中图像，以呈现特森综合征中血液进入眼睛的可能途径及其在眼内扩散的方式。
对5例特森综合征患者的9只眼睛进行了玻璃体切除术。术后对手术过程进行记录并分析。术后进行了SD - OCT和扫描激光检眼镜检查。
所有病例的视力均有改善。SD - OCT三维模式改善了对视网膜内界膜（ILM）的可视化，这可能是由于黄斑和视盘附近视网膜内界膜下血液扩散导致的脱离。扫描激光检眼镜检查显示血液沿血管扩散，术中观察到视网膜下有血液。
SD - OCT、扫描激光检眼镜检查结果以及术中图像显示，血液可能在视盘附近沿视网膜血管进入玻璃体腔。在眼内，血液可能在视网膜内、视网膜内界膜下或沿视网膜血管扩散。
