The aim of this study was to estimate the incidence of a whole spectrum of early intraocular complications in patients suffering from aneurysmal subarachnoid haemorrhage (SAH) and to identify factors that are potentially associated with these fundus findings. In total the authors analysed 96 cases of aneurysmal SAH. Forty patients (42%) had abnormal fundus findings, these included disc swelling in 13.5%, retinal haemorrhages in 23% and vitreous haemorrhage in 5%. The incidence of intraocular pathologies was significantly higher in patients who lost consciousness at the onset of SAH, were admitted with high scores of the Hunt-Hess and Fisher scales and low score of the Glasgow Coma Scale, as well as in those with arterial hypertension, more sizeable aneurysm and older patients. In summary, the risk factors for intraocular complications included the severity of SAH, loss of consciousness, larger aneurysm, older age and arterial hypertension. 

Early intraocular complications of subarachnoid haemorrhage after aneurysm rupture.
Obuchowska I, Turek G, Mariak Zenon, Mariak Zofia.
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Claire Howard

Salford Royal NHS Foundation Trust, Salford, UK.

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