Postsurgical evaluation of idiopathic vitreomacular traction syndrome by optical coherence tomography.
OBJECTIVE
To report a case of idiopathic vitreomacular traction syndrome with preoperative and postoperative evaluation by optical coherence tomography.


METHODS
Interventional case report.


METHODS
A 62-year-old woman presented with blurred vision in the left eye because of idiopathic vitreomacular traction syndrome, and she underwent a pars plana vitrectomy. Optical coherence tomography was performed before and after surgery.


RESULTS
Preoperative optical coherence tomography, right eye, revealed residual adhesion of incomplete posterior vitreous detachment and edematous, thickened outer retina in the macula. A successful vitrectomy relieved vitreoretinal traction with nearly complete resolution of cystoid macular edema within 1 month after surgery, followed in subsequent months by gradual foveal depression resembling a lamellar macular hole. Resolution of subretinal serous fluid was delayed with complete disappearance, some 12 months after surgery, which correlated with a gradual improvement in visual acuity.


CONCLUSIONS
Optical coherence tomography provides a sensitive anatomical evaluation of vitreomacular traction syndrome. Reorganization of retinal tissue after surgical intervention for vitreoretinal traction may be slower than is apparent from conventional examinations.
Uchino
E
E
Department of Ophthalmology, Kagoshima University Faculty of Medicine, Kagoshima-shi, Japan.
Uemura
A
A
Doi
N
N
Ohba
N
N
D003941:Diagnostic Techniques, Ophthalmological; D005260:Female; D006801:Humans; D007368:Interferometry; D008027:Light; D008266:Macula Lutea / Q000473:pathology*; D008269:Macular Edema / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D009887:Ophthalmoscopy; D011182:Postoperative Care; D013577:Syndrome; D014054:Tomography / Q000379:methods; D014792:Visual Acuity; D014821:Vitrectomy; D020255:Vitreous Detachment / Q000473:pathology* / Q000601:surgery