Retina-Vitreous
2012 , Vol 20 , Num 0
Purtscher’s Retinopathy and Terson’s Syndrome
1M.D. Asistant Professor, Uludağ University Faculty of Medicine, Department of Ophthalmology, Bursa/TURKEY2M.D., Uludağ University Faculty of Medicine, Department of Ophthalmology, Bursa/TURKEY Purtscher's retinopathy is an occlusive disease of the small arterioles which can be seen mainly in traumas of the chest and head. This pathology can also be present in cases with long bone fractures, acute pancreatitis, birth labor, usage of periocular steroids and connective tissue diseases. Currently, there is no widely accepted treatment modality in Purtscher's retinopathy. It is well known that cases with a follow-up of 2 years, usually experience at least 2 line improvement of visual acuity. Any kind of intraocular hemorrhage which is associated with intracranial hemorrhage and increased intracranial pressure is defined as Terson's syndrome. Terson's syndrome is generally secondary to subarachnoid hemorrhage that is associated to cerebral aneurysm rupture. Although the vast majority of patients recover spontaneously under close follow-up, surgical intervention should be planned in selected cases. Clearly, above mentioned disorders are closely related to life-threatening situations, however early diagnosis and prompt treatment will enable a good rehabilitation of vision and may help to save the life of the patient. Keywords : Hemorrhage, purtscher’s retinopathy, terson syndrome, trauma