Terson's syndrome: surgical outcome in relation to entry site pathology.

Case series A case note review identified 11 eyes of eight consecutive patients with Terson’s syndrome (age range 27–56 years, M:F = 1:1) referred to the West of England Eye Unit between 1996 and 2004. Surgery was performed for non-resolving vitreous haemorrhage 1– 6 months from date of referral. Ten eyes had three port pars plana vitrectomy and one eye had combined phacovitrectomy. Table 1 summarises the preoperative and postoperative Snellen visual acuity (VA), type of anaesthesia, whether surgery was complicated by intraoperative ES break, and postoperative retinal detachment. Five of 11 eyes (45.5%) had ES breaks detected intraoperatively. One eye had prophylactic cryotherapy to the entry sites because surgery on the fellow eye was complicated by retinal detachment from an ES break. The remaining five eyes had vitrectomy with no ES prophylaxis. Retinal detachment developed in three eyes between 1–7 months postoperatively, all occurred because of pathology at untreated entry sites.