动脉瘤性蛛网膜下腔出血致Terson综合征一例

Terson Syndrome Caused by Aneurysmal Subarachnoid Hemorrhage: A Case Report

摘要: Terson综合征是蛛网膜下腔出血(SAH)的眼部相关并发症，可引起视网膜出血、视网膜下出血、视网膜前出血及玻璃体出血，导致视力的严重损害。患者多因颅内出血所致的意识及言语障碍无法及时发现眼部并发症，从而延误最佳治疗时机。本文报道了一例老年男性患者，因动脉瘤性蛛网膜下腔出血合并双眼Terson综合征，经玻璃体切割治疗后预后良好。对于蛛网膜下腔出血的患者，应在意识恢复的早期进行眼科相关检查，及时明确Terson综合征的诊断，对于有黄斑区视网膜前出血及内界膜下出血的患者，及时进行眼底激光干预，对于视力的预后及减轻患者经济负担均有一定意义。

Abstract: Terson syndrome is an ocular complication of subarachnoid hemorrhage (SAH), which can cause retinal hemorrhage, subretinal hemorrhage, preretinal hemorrhage and vitreous hemorrhage, leading to severe visual impairment. Due to the consciousness and speech disorders caused by intracranial hemorrhage, the eye complications cannot be found in time, thus delaying the best treatment opportunity. We report an elderly male patient with bilateral Terson syndrome due to aneurysmal subarachnoid hemorrhage. The patient had a good prognosis after vitrectomy. For patients with subarachnoid hemorrhage, ophthalmological examinations should be performed in the early stage of consciousness recovery, and the diagnosis of Terson syndrome should be confirmed in time. For patients with premacular hemorrhage, timely fundus laser intervention is of certain significance for the prognosis of vision and reducing the economic burden of patients.