Surgical approach in Terson syndrome: vitreous and retinal findings

PURPOSE. To report some interesting findings in patients with bilateral Ter son syndrome. METHODS. We describe six eyes from three patients with Terson syndrome. Par s plana vitrectomy was performed in one eye twelve weeks, and in four eyes six months after the acute event. In one eye blood was suddenly spontaneous ly absorbed after four months. RESULTS. The four eyes operated six months after injury showed severe compl ications and final visual acuity was between light perception and 0.6. The eye with surgical attendance twelve weeks after the acute injury had an une ventful course, and final visual acuity was 0.7. CONCLUSIONS. Because of severe ocular complications and with a view to earl y rehabilitation, vitrectomy has been recommended for eyes with bilateral T erson syndrome, without spontaneous blood resorption. Surgery should be per formed in at least one eye not later than four to eight weeks after the acu te injury.