Vitrectomy for vitreomacular traction syndrome with macular detachment.
OBJECTIVE
To describe the clinical characteristics of the vitreomacular traction syndrome with macular detachment and to report our surgical experience with this condition.


METHODS
A retrospective chart and photographic review was performed on nine patients (nine eyes) who had a symptomatic decrease in visual acuity from a macular traction retinal detachment caused by vitreomacular traction syndrome. Vitrectomy was performed in each eye to reattach the retina.


RESULTS
Intraoperative observation confirmed partial posterior vitreous separation with adherence of the posterior hyaloid to the detached retina and separation of the posterior hyaloid from the attached retina. After surgery the macula was reattached in seven eyes (78%). Visual acuity was improved in four eyes, stable in four eyes, and worse in one eye.


CONCLUSIONS
Macular detachment may occur secondary to vitreomacular traction syndrome. Although the retina may be reattached surgically in these cases, visual improvement may be limited by chronic detachment, premacular fibrosis, cystoid macular edema, or macular schisis.
Melberg
N S
NS
Retina Consultants, Ltd., St. Louis, Missouri, USA.
Williams
D F
DF
Balles
M W
MW
Jaffe
G J
GJ
Meredith
T A
TA
Sneed
S R
SR
Westrich
D J
DJ
D000368:Aged; D000369:Aged, 80 and over; D005128:Eye Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D008266:Macula Lutea; D008297:Male; D012163:Retinal Detachment / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D012164:Retinal Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D013577:Syndrome; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body / Q000473:pathology / Q000601:surgery*