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104. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft 2006
Abstract
Abstract
DO.01.03 Terson syndrome  Results after spontaneous course and vitrectomy Garweg J. G., Koerner F.
University of Bern, Siwtzerland Objective: Since most published case series on Terson syndrome have included small case numbers, we wished to report the outcome of vitrectomy in Terson syndrome and compare it to the spontaneous course in non-vitrectomized eyes respecting the reasons for staying away from surgery.
Methods: This retrospective case series reports on 47 patients (58 eyes) followed for Terson syndrome in our institution between 1981 and 2005, of whom 38 were referred to surgery, whereas 9 were followed without surgery. Bilateral disease was treated in 9/38 and 2/9 patients, respectively. Surgery included standard pars plana vitrectomy without additional buckle or tamponade if the retina was found stable. Visual acuity and any complications requiring surgery were recorded in the follow-up course.
Results: Seven vitrectomized (15%) and 5 not operated eyes (45%) reached a best corrected visual acuity (BCVA) above 0.1 at first presentation (p=0.008), and 38/47 and 4/11 eyes achieved a BCVA³0.5 postoperatively (81%) or spontaneously (36%; p=0.013) after a median follow up of 12 and 11 months, respectively. Eight of the vitrectomized eyes required 11 reoperations (6x IOL, 1 cryotherapy, 1 eye 4 vitrectomies for PVR-associated retinal detachment). A limited functional gain was the reason for staying away from surgery in 5 of the conservatively followed eyes (2x coexisting ischaemic optic neuropathy, 2x myopic maculopathy, 1x poor general health).
Conclusions: Vitrectomy in Terson syndrome provides excellent visual recovery. The complication rate, including the development of cataract, is low. An operation may not be indicated if there are coexisting pathologies limiting the functional outcome.
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