J Korean Ophthalmol Soc.  2003 Feb;44(2):351-356.

Diagnosis and Treatment of Vitreomacular Traction Syndrome Using Optical Coherence Tomography

Affiliations
  • 1Kong Eye Clinic, Sungnae-dong, Kangdong-ku, Seoul, Korea. euklee@chollian.net

Abstract

PURPOSE
To determine the benefit of optical coherence tomography (OCT) in the diagnosis of vitreomacular traction syndrome and evaluate the vitreoretinal interface before and after vitreous surgery. METHODS: Medical records of five patients with vitreomacular traction syndrome who had undergone vitrectomy were reviewed. Preoperative and postoperative visual acuity and preoperative and postoperative OCT were reviewed. In all patients OCT demonstrated posterior vitreous detachment and a focal adhesion of hyaloid membrane to macula with traction on the foveal retinal tissue. All of them underwent pars plana vitrectomy with peeling of poterior hyaloid face. RESULTS: Visual acuity improved in 4 eyes after the first vitrectomy. One eye developed postoperatively a macular hole, which was treated with the second vitrectomy and intravitreal gas tamponade with subsequent improvement in vision. In 4 eyes, OCT showed elimination of vitreous strand, relief of vitreous traction and restoration of normal foveal contour after vitrectomy. CONCLUSION: Optical coherence tomography is a useful tool in the diagnosis of vitreomacular traction syndrome and in the evaluation of status of vitreoretinal interface before and after vitrectomy. Following pars plana vitrectomy, vision improved and normal foveal contour was restored.

Keyword

Optical coherence tomography; Vitrectomy; Vitreomacular traction syndrome; Vitreoretinal interface

MeSH Terms

Diagnosis*
Focal Adhesions
Humans
Medical Records
Membranes
Retinal Perforations
Retinaldehyde
Tomography, Optical Coherence*
Traction*
Visual Acuity
Vitrectomy
Vitreous Detachment
Retinaldehyde
Full Text Links
  • JKOS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2022 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr