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Terson’s syndrome is a frequent cause of visual loss following subarachnoid haemorrhage (SAH).1 Vitrectomy is indicated for non-resolving vitreous haemorrhage.2,3 We observed a high incidence of entry site (ES) pathology in patients having vitrectomy for Terson’s syndrome and recommend routine prophylactic laser or cryotherapy to all entry sites in these patients.
A case note review identified 11 eyes of eight consecutive patients with Terson’s syndrome (age range 27–56 years, M:F = 1:1) referred to the West of England Eye Unit between 1996 and 2004. Surgery was performed for non-resolving vitreous haemorrhage 1–6 months from date of referral. Ten eyes had three port pars plana vitrectomy and one eye had combined phacovitrectomy.
Table 1 summarises the preoperative and postoperative Snellen visual acuity (VA), type of anaesthesia, whether surgery was complicated …