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Volume 73, Issue 6, Pages 334-337 (June 2010)


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Optical Coherence Tomography in Spontaneous Resolution of Vitreomacular Traction Syndrome

Kuo-Hsuan Hunga, Chang-Sue YangabcCorresponding Author Informationemail address, Tai-Chi Lina, Feng-Lih Leeab, Shui-Mei Leeab

Received 14 December 2009; accepted 24 March 2010.

Vitreomacular traction syndrome (VTS) is a vitreoretinal interface abnormality. The disorder is caused by incomplete posterior vitreous detachment with persistent traction on the macula that produces symptoms and decreased vision. Most symptomatic eyes with VTS undergo a further decrease in visual acuity. Spontaneous complete vitreomacular separation occurs infrequently in eyes with VTS. Surgical intervention may be considered if severe metamorphopsia and decreased visual quality occur. Herein, we report 2 typical cases of idiopathic VTS with spontaneous resolution of vitreo-retinal traction demonstrated by optical coherence tomography. Optical coherence tomography is a sensitive and useful tool for the confirmation of diagnosis and for the serial anatomical evaluation of patients with VTS.

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1. 1 Hikichi T , Yoshida A , Trempe CL . Course of vitreomacular traction syndrome . Am J Ophthalmol . 1995;119:55–61 . MEDLINE

2. 2 Gallemore RP , Jumper JM , McCuen BW , Jaffe GJ , Postel EA , Toth CA . Diagnosis of vitreoretinal adhesions in macular disease with optical coherence tomography . Retina . 2000;20:115–120 . CrossRef

3. 3 Yamada N , Kishi S . Tomographic features and surgical outcome of vitreomacular traction syndrome . Am J Ophthalmol . 2005;139:112–117 . Abstract | Full Text | Full-Text PDF (281 KB) | CrossRef

4. 4 Smiddy WE , Michels RG , Glaser BM , deBustros S . Vitrectomy for macular traction caused by incomplete vitreous separation . Arch Ophthalmol . 1988;106:624–628 . MEDLINE

5. 5 Smiddy WE . Vitreomacular traction syndrome . In:  Yanoff M ,  Duker JS editor. Ophthalmology . 2nd edition. St Louis: CV Mosby; 2004;p. 951–955 .

a Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.

b National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.

c Department of Ophthalmology, Taipei Medical University, Taipei, Taiwan, R.O.C.

Corresponding Author InformationCorrespondence to: Dr Chang-Sue Yang, Department of Ophthalmology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, R.O.C.

PII: S1726-4901(10)70072-1

doi:10.1016/S1726-4901(10)70072-1


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