双眼Terson综合征一例  

Binocular Terson syndrome:a case report

作　　者：潘霞飞 李尔洵 王静[1] 张佳凤 蓝育青[1] PANG Xiafei;LI Erxun;WANG Jing;ZHANG Jiafeng;LAN Yuqing(Department of Ophthalmology,Sun Yat-sen University,Sun Yat-sen Memorial Hospital,Guangzhou 510120,China)

机构地区：[1]中山大学孙逸仙纪念医院眼科,广州510120

出　　处：《眼科学报》2023年第9期646-651,共6页Eye Science

摘　　要：Terson综合征又称蛛网膜下腔出血合并玻璃体积血综合征,是一种较为罕见的眼科疾病。患者多因颅内出血而存在意识障碍、沟通困难,极易漏诊,错过最佳治疗时机。该文报道了一例30岁男性患者,因弥漫蛛网膜下腔出血,突发昏迷,于发病1个月后出现双眼视物模糊,最终确诊为双眼Terson综合征,并行双眼玻璃体切割术及右眼视网膜前膜剥膜术治疗。术后54 d,患者左眼视力由指数/5 cm恢复至矫正视力0.3。术后19 d,患者右眼视力由手动/20 cm恢复至矫正视力0.12。Terson syndrome,also known as subarachnoid hemorrhage combined with vitreous hemorrhage syndrome,is a relatively rare ophthalmic condition.Patients mostly have impaired consciousness and communication difficulties due to intracranial hemorrhage,which makes it very easy to miss the diagnosis and the best time for treatment.This article reports the basic case of a 30-year-old male patient with sudden coma due to diffuse subarachnoid hemorrhage.And he had blurred vision in both eyes 1 month later,which was finally diagnosed as binocular terson syndrome.He was treated with vitrectomy in the left eye and vitrectomy+anterior retinal detachment surgery in the right eye.The visual acuity of patient was restored from finger count/5cm to corrected visual acuity of 0.3 in the left eye when 54 days after surgery and from manual/20 cm to corrected visual acuity of 0.12 in the right eye when 19 days postoperative.

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]