What is Terson syndrome and how does it occur?

Terson syndrome is an intraocular hemorrhage that occurs due to increased intracerebral pressure, usually as a result of a cranial hemorrhage due to a ruptured aneurysm or traumatic brain injury, for example.

It is not known exactly how this bleeding occurs, which usually occurs in important areas of the eyes, such as vitreous, which is the gelatinous fluid that fills most of the eyeball, or the retina, which contains cells responsible for vision, and may appear in adults or children.

  • This syndrome causes symptoms such as headache.
  • Impaired consciousness and decreased visual capacity.
  • And confirmation of this syndrome should be performed by an ophthalmologist.
  • Treatment depends on the severity of the disease.
  • Which may involve observation or surgical correction.
  • To interrupt and drain bleeding.

Although not well understood, in most cases Terson syndrome occurs after a type of brain haemorrhage called subarachnoid hemorrhage, which occurs in the space between the membranes lining the brain and can occur due to rupture of an intracerebral aneurysm or traumatic brain injury. after an accident.

In addition, this syndrome may be the result of intracranial hypertension, after a stroke, a brain tumor, a side effect of certain medications, or even an unclear cause, all of which are serious and indicate a risk of death if treatment is not performed.

Terson syndrome may be unilateral or bilateral and symptoms that may be present include:

The number and type of signs and symptoms may also vary depending on the location and intensity of brain hemorrhage.

Treatment of Terson syndrome is indicated by the ophthalmologist and the surgical procedure called vitrectomy is usually performed, which involves partially or completely eliminating the vitreous mood or its coating membrane, which can be replaced by a special gel.

However, a natural resorption of the bleeding can be considered, which can occur up to 3 months, so to perform the surgery, the doctor must determine if only one eye or both eyes has been affected, the severity of the injury, if bleeding is resorption and age, since surgery is generally indicated for children.

In addition, there is also the option of laser therapy, to stop or drain bleeding.

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