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Es un tema controvertido sin estudios concluyentes. Case report: We report the case of a 28 year old woman with a Terson Syndrome due to a ruptured aneurysm of the right carotid bifurcation and a subarachnoid hemorrhage.
She underwent to hyaloidotomy with Nd: Yag laser, and her visual acuity improved progressively. Discussion: The treatment of both the subhyaloid or of the sub-internal limiting membrana hemorrhage could be carried out through observation, vitrectomy and in selected cases, by draining the hemorrhage into the vitreous cavity.
This is achieved by means of the perforation of the posterior hyaloid or of the internal limiting membrane with Nd:Yag laser. This is a controversial subject and there are no conclusive studies. En estos pacientes se ha observado un aumento de la mortalidad comparado con aquellos sin hemorragia intraocular 4. Imagen anteroposterior AP del aneurisma.
Dudoso defecto pupilar aferente relativo en OI. Hemorragia subhialoidea premacular. Las potencias requeridas variaron entre 2,2 mJ a 9,7mJ. Augsten, E. Surgical approach in terson syndrome: vitreous and retinal findings. Eur J Ophthalmol. Arroyo JG. Bula DV.
Immunohistochemical study of the internal limiting membrane in Terson syndrome. Ogawa T. Kitaoka T. Dake Y. Amemiya T. Terson syndrome: a case report suggesting the mechanism of vitreous hemorrhage. Sharma T. Gopal L. Biswas J. Shanmugam MP. Bhende PS. Agrawal R. Shetty NS. Sanduja N. Results of vitrectomy in Terson syndrome. Ophthalmic Surg Lasers. Srinivasan S. Kyle G. Epub Oct Long-term results of Nd:YAG laser treatment for premacular subhyaloid haemorrhage owing to Valsalva retinopathy.
Celebi S. Kukner AS. Photodisruptive Nd:YAG laser in the management of premacular subhyaloid hemorrhage. Nd:YAG laser treatment for premacular subhyaloid haemorrhage. Terson syndrome associated with a carotid-ophthalmic giant aneurysm. Arch Soc Esp Oftalmol.
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