J Korean Ophthalmol Soc.  2008 Sep;49(9):1468-1474.

Clinical Manifestation and Result of Vitrectomy of Vitreomacular Traction Syndrome

• Rhim WI
• Kim HS
• Lee EK

Abstract

PURPOSE
To investigate the clinical manifestation and the result of vitrectomy in patients with vitreomacular traction syndrome.
METHODS
Optical coherent tomography (OCT) was used to evaluate the clinical manifestation and the results of vitrectomy for 26 eyes with vitreomacular traction syndrome.
RESULTS
Spontaneous relief of vitreomacular traction was achieved in 3 of 8 eyes after a mean follow-up duration of 9 months. One eye recovered visual acuity, but the other 2 eyes could not attain better visual acuity because of persistent sponge-like macular edemas. Six of 13 eyes (46%) improved by two or more lines of visual acuity after vitrectomy. The presence of simple macular cysts without sponge-like macular edemas or tractional retinal detachment seemed to be related to good results after vitrectomy.
CONCLUSIONS
Vitrectomy is a preferable way to treat vitreomacular traction syndrome. Preoperative OCT could predict the surgical prognosis.

Keyword

Optical coherent tomography; Vitrectomy; Vitreomacular traction syndrome

MeSH Terms

Eye
Follow-Up Studies
Humans
Macular Edema
Prognosis
Retinal Detachment
Traction
Visual Acuity
Vitrectomy

Figure

• 

  Figure 1. Subtypes of the vitreomacular traction according to the amount of posterior vitreous detachment. (A) Anteroposterior vitreous strand causing vitreomacular traction focusing on the macular center, a large macular cyst is shown at the fovea. (B) V-shaped posterior vitreous detachment causing pagoda-shaped foveal elevation with macular cysts. (C) Imcomplete posterior vitreous detachment with broad vitreomacular adhesion causing multiple small macular cysts and sponge-like macular edema.

• 

  Figure 2. Various macular pathologic changes caused by vitreomacular traction syndrome. (A) V-shaped posterior vitreous detachment and epiretinal membrane causing pagoda-shaped foveal elevation. (B) Dome-shaped macular elevation showing sponge-like macular edema by the broad vitreomacular adhesion. (C) Vitreomacular traction syndrome with the formation of a macular hole. (D) Severe tractional retinal detachment with the accumulation of subretinal fluid and small macular cysts in the inner retinal layer.

Reference

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