病例报告

双眼 Terson 综合征一例

Binocular Terson syndrome: a case report

:646-651
 
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.
论著

双眼 Terson 综合征一例

Bilateral Terson syndrome: a case report

:-
 
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, which is also defned as subarachnoid hemorrhage combined with vitreous hemorrhage syndrome, is a relatively rareeye disease. Due to intracranial hemorrhage, patients with this disease usually experience consciousness disorders and communication difculties, so that it is easy to to miss the diagnosis and the optimal time for treatment. This article reports a case of a 30-year-old male patient with sudden coma due to diffuse subarachnoid hemorrhage. He felt blurred in both eyes 1 month afer the onset, and was diagnosed as binocular terson syndrome ultimately. He underwent bilateral vitrectomy and anterior retinal membrane detachment surgery in the right eye. Te patient visual acuity was restored from fnger count/5cm to 0.3 corrected visual acuity in the lef eye when 54 days afer surgery, and his visual acuity was from manual/20 cm to 0.12 corrected visual acuity in the right eye when 19 days afer surgery.
其他期刊
  • 眼科学报

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
    浏览
  • Eye Science

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
    浏览
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