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J Neurosurg. 2018 Feb 2;130(2):517-524. doi: 10.3171/2017.7.JNS171302.

Bedside optical coherence tomography for Terson's syndrome screening in acute subarachnoid hemorrhage: a pilot study.

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1Neurological Institute, and.
2Department of Ophthalmology, University Hospitals, Case Western Reserve University, Cleveland, Ohio.


In BriefThis study was performed to address the possibility of screening for ocular bleeds (Terson's syndrome [TS]) in critically ill patients with a brain bleed (acute subarachnoid hemorrhage) through an advanced eye imaging technique, i.e., optical coherence tomography (OCT). TS can damage the retina and cause legal blindness. An early diagnosis of TS using OCT may guide the patient's need for surgery, improve quality of life, and decrease associated health care costs.


GCS = Glasgow Coma Scale; H&H = Hunt and Hess; HDS = Hamilton Depression Scale; ILM = inner limiting membrane; IVH = intraventricular hemorrhage; NIH-PROMIS = NIH Patient-Reported Outcomes Measurement Information System; OCT = optical coherence tomography; PHQ-9 = Patient Health Questionnaire–depression module; SAH = subarachnoid hemorrhage; TS = Terson’s syndrome; Terson’s syndrome; VFQ-25 = 25-item National Eye Institute Visual Functioning Questionnaire; aSAH = acute SAH; diagnosis; diagnostic technique; mRS = modified Rankin Scale; optic coherence tomography; subarachnoid hemorrhage; vascular disorders


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