Velikay M, Datlinger P, Stolba U, Wedrich A, Binder S, Hausmann N
1st University Eye Clinic, Vienna, Austria.
Ophthalmology. 1994 Jan;101(1):35-7. doi: 10.1016/s0161-6420(13)31240-8.
In several reports, early vitrectomy has been proposed for eyes with vitreous hemorrhage due to Terson syndrome as a means to hasten visual recovery. But the development of nuclear sclerosis and the neurologic problems arising from this disease encourage surgeons to wait for spontaneous resorption, especially with young patients. Although the formation of epiretinal membranes has been described, to the authors' knowledge retinal detachment with proliferative vitreoretinopathy in Terson syndrome never has been observed.
The authors report five eyes from four patients with Terson syndrome due to spontaneous aneurysm rupture, in whom retinal detachment with proliferative vitreoretinopathy developed.
The early onset and the severe clinical course of proliferative vitreoretinopathy in these eyes showed parallels to traumatic proliferative vitreoretinopathy. The retina in all eyes could be reattached.
The authors point out the necessity for accurate and close follow-up and early, extensive surgical treatment in Terson syndrome, especially in patients with a reduced general state of health.
在多篇报道中，有人提出对患有泰森综合征所致玻璃体积血的眼睛尽早行玻璃体切除术，作为加快视力恢复的一种手段。但核性硬化的发展以及该疾病引发的神经问题促使外科医生等待积血自然吸收，尤其是对于年轻患者。虽然已有视网膜前膜形成的相关描述，但据作者所知，从未观察到泰森综合征伴有增殖性玻璃体视网膜病变的视网膜脱离。
作者报告了4例因自发性动脉瘤破裂导致泰森综合征患者的5只眼睛，这些眼睛发生了伴有增殖性玻璃体视网膜病变的视网膜脱离。
这些眼睛中增殖性玻璃体视网膜病变的早期发病和严重临床过程与外伤性增殖性玻璃体视网膜病变相似。所有眼睛的视网膜均得以复位。
作者指出，对于泰森综合征患者，尤其是全身健康状况较差的患者，进行准确、密切的随访以及早期、广泛的手术治疗是必要的。
