Terson综合征的治疗及预后分析  

Treatment and prognosis of Terson syndrome

作　　者：武丽娜[1] 贺涛[1] 邢怡桥[1] 艾明[1] 杨安怀[1] 

机构地区：[1]武汉大学人民医院眼科,430000

出　　处：《临床眼科杂志》2011年第1期66-68,共3页Journal of Clinical Ophthalmology

摘　　要：目的探讨Terson综合征的治疗选择及预后。方法本组病例共纳入我科2003年1月至2009年12月间确诊并治疗的24(35只眼)Terson综合征患者连续病例,术前视力为光感至0.2,病程为1～10个月,年龄16～67岁。所有患眼均进行了玻璃体切割手术,根据视网膜具体情况选择硅油充填9只眼,C3F8眼内充填3只眼。结果所有Terson综合征患者通过手术清除玻璃体腔内积血后视力均有一定的提高,35只眼中有14只眼术后视力≥0.5,病程较长或合并视网膜脱离者术后视力恢复欠佳。结论玻璃体切割手术可以有效治疗Terson综合征患者发生的玻璃体积血,对于较长时间玻璃体腔内积血未能吸收或是合并视网膜脱离的患者应积极手术介入。Objective To discuss therapeutic options and prognosis in 24 cases with Terson syndrome.Methods 24 cases （35 eyes） with Terson syndrome from January 2003 to December 2009 were analyzed retrospectively. The Preoperative visual acuity was LP to 0.2. The courses of disease were 1 month to 10 months. The ages of the patients ranged from 16 to 67 years. Vitrectomy was performed in all the cases. 9 eyes were tempnaded with silicon oil, and 3 eyes were tempnaded with gas.Results In all the cases visual acuity （VA） improved after removal of the vitreous hemorrhage （VH） caused by Terson syndrome. Postoperative VA was ≥0.5 in 14 of 35 eyes. Poor visual outcomes were mainly caused by retinal detachments and long course. Conclusion Vitrectomy for vitreous hemorrhage in Terson syndrome is a safe and effective procedure. An early vitrectomy is recommended for eyes with retinal detachment, without spontaneous blood absorption.

关 键 词：TERSON综合征 玻璃体切割术 玻璃体积血 

分 类 号：R779.6[医药卫生—眼科]