Spontaneous resolution of vitreomacular traction: a case series
Articles > Article · 2013
Authors: Özlem BARUT SELVER, Melih Parlak, Zeynep Ozbek Soylemezoglu, Ali Osman Saatci
CLINICAL AND EXPERIMENTAL OPTOMETRY, Journal Indexed in SCI Expanded, International, 2013, vol 96, pp 424-427
DOI: 10.1111/cxo.12019
Summary
Three patients had unilateral vitreomacular traction (VMT) syndrome and the diagnosis was confirmed by spectral domain-type optical coherence tomography (OCT). All patients were female aged 51, 55 and 62 years. All denied surgical intervention. In one patient, rapid spontaneous resolution of the vitreomacular traction with a complete posterior vitreous detachment (PVD) and a normal foveal contour was achieved within 15 days. In the remaining two cases a complete PVD could be detected as late as seven months after the initial presentation. In one, though the vitreomacular adhesion released spontaneously, there was a minimal residual epiretinal membrane. In all three eyes, visual acuity was considerably improved. Spontaneous, uneventful resolution has been rarely reported in the natural course of VMT but several recent studies with the aid of OCT have shown that spontaneous resolution might be more common than previously known. In light of our cases, we believe that there is still room to search for OCT clues in eyes with VMT to predict eyes with higher likelihood of spontaneous resolution, thereby avoiding unnecessary pharmacologic and/or surgical intervention.