Abstract
Purpose
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).
Methods
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.
Results
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).
Conclusion
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.
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Acknowledgements
We thank Prof. Miao Li of the China–Japan Union Hospital, Jilin University for help with the neurological diagnosis and classification and Dr Shanshan Xu for the statistical consultation. This work was supported by the International Cooperation Foundation of Jilin Provincial Science and Technology Department (grant no. 20170414048GH) and the Natural Science Foundation of Jilin Province (grant no. 20180520118JH).
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Liu, X., Yang, L., Cai, W. et al. Clinical features and visual prognostic indicators after vitrectomy for Terson syndrome. Eye 34, 650–656 (2020). https://doi.org/10.1038/s41433-019-0547-3
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DOI: https://doi.org/10.1038/s41433-019-0547-3
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