Evaluation

On ophthalmoscopy, multiple preretinal, intraretinal, and subretinal hemorrhages can be seen if the vitreous hemorrhage allows inspection of the retina. A dome-shaped accumulation of blood is found at the macula in 39% of eyes, two-thirds of which is underneath the ILM [14].8 Ultrasonography allows preoperative identification of the hemorrhagic macular cyst, and surgical intervention may have to be performed more urgently in such cases.

7 Subarachnoidal or subdural, occasionally intracerebral.

8 Hemorrhagic macular cyst.

Fig. 3.3.2 Terson syndrome. Intraoperative image of an eye with a submembranous hemorrhagic cyst in the macula. The cyst's border is clearly visible, delineated by a white line representing the ILM's reinsertion into the retina. The cyst still contains blood, which is degenerated and has turned white. The scissors is used to open the ILM for complete blood evacuation (R. Morris, Birmingham, Alabama)

Fig. 3.3.2 Terson syndrome. Intraoperative image of an eye with a submembranous hemorrhagic cyst in the macula. The cyst's border is clearly visible, delineated by a white line representing the ILM's reinsertion into the retina. The cyst still contains blood, which is degenerated and has turned white. The scissors is used to open the ILM for complete blood evacuation (R. Morris, Birmingham, Alabama)

O Cave

The amount of intraocular hemorrhage directly correlates with the rapidity and magnitude of intracranial pressure elevation. The presence of intraocular hemorrhage is associated with increased morbidity and mortality [4, 28].

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