Eye Center, The Second Hospital of Jilin University, #218 Ziqiang Street, Changchun, 130000, Jilin, China.
Jilin Provincial Key Laboratory on Molecular and Chemical Genetics, The Second Hospital of Jilin University, #218 Ziqiang Street, Changchun, 130000, Jilin, China.
Eye (Lond). 2020 Apr;34(4):650-656. doi: 10.1038/s41433-019-0547-3. Epub 2019 Aug 27.
To determine clinical characteristics and identify factors associated with better visual outcomes in patients who had vitrectomy for vitreous haemorrhage (VH) associated with Terson syndrome (TS).
The records of 48 patients (54 corresponding eyes) who underwent vitrectomy for VH associated with TS from January 2008 to December 2017 were retrospectively reviewed. The main outcome measure was the final postoperative visual acuity.
At the last visit, 34 eyes (63.0%) achieved a BCVA of 0.3 or better. Eyes associated with traumatic brain injury had a better visual outcome than those with primary intracerebral haemorrhage (P = 0.042). In the primary intracerebral haemorrhage group, patients with hypertension-induced intracranial haemorrhage (IH) showed poorer final visual acuities than the ruptured intracranial aneurysm group (P = 0.023). In the delayed vitrectomy group, epiretinal membrane and peripheral retina changes were more common (P < 0.05). However, the difference in final visual acuity between the early and delayed vitrectomy groups was not significant (P = 0.69).
Most of the patients obtained visual recovery after vitrectomy for TS. VH associated with ruptured intracranial aneurysm or traumatic brain injury or eyes without retinal haemorrhage are predictive of better prognosis. Although the timing of vitrectomy was not related to the final postoperative visual outcome, early vitrectomy by three months seems to suggest less epiretinal membrane formation, retinal tears, and retinal detachments.
确定与 Terson 综合征（TS）相关的玻璃体积血（VH）患者接受玻璃体切除术的临床特征，并确定与更好的视力结果相关的因素。
回顾性分析 2008 年 1 月至 2017 年 12 月期间接受玻璃体切除术治疗 VH 合并 TS 的 48 例（54 只眼）患者的记录。主要观察指标为最终术后视力。
末次随访时，34 只眼（63.0%）视力达到 0.3 或更好。与原发性颅内出血相比，与创伤性脑损伤相关的眼视力预后更好（P=0.042）。在原发性颅内出血组中，高血压性颅内出血（IH）患者的最终视力比破裂颅内动脉瘤组差（P=0.023）。在延迟玻璃体切除组中，更常见的是视网膜内膜和周边视网膜改变（P<0.05）。但是，早期和延迟玻璃体切除术组之间的最终视力差异无统计学意义（P=0.69）。
大多数患者在接受 TS 玻璃体切除术后获得了视力恢复。与破裂颅内动脉瘤或创伤性脑损伤相关的 VH 或无视网膜出血的眼预示着更好的预后。尽管玻璃体切除术的时机与最终术后视力结果无关，但三个月内的早期玻璃体切除术似乎提示较少的视网膜内膜形成、视网膜裂孔和视网膜脱离。
