Optical coherence tomography findings of incomplete posterior vitreoschisis with vitreomacular traction syndrome and impending macular hole: a case report.
OBJECTIVE
Vitreomacular traction syndrome is a clinical entity characterized by partial posterior vitreous detachment in combination with persistent macular adherence. Recently, optical coherence tomography (OCT) allowed visualization of incomplete posterior vitreoschisis leading to vitreomacular traction.


METHODS
The authors report on a 57-year-old woman with blurred vision in her left eye.


RESULTS
OCT scan showed incomplete posterior vitreoschisis with vitreomacular traction syndrome and impending macular hole in her left eye.


CONCLUSIONS
The intraoperative findings together with the evidence that the internal limiting membrane (ILM) thickness is thinner than the axial resolution of the Stratus OCT (8 micronm) and a spontaneous ILM detachment has never been demonstrated are likely to support the hypothesis that posterior vitreoschisis exists and can be associated with vitreomacular traction syndrome.
Figus
M
M
Neurosciences Department, Ophthalmology, University of Pisa, Pisa, Italy. figus@unipisa.it
Carpineto
P
P
Romagnoli
M
M
Ferretti
C
C
Di Antonio
L
L
Nardi
M
M
D005260:Female; D006801:Humans; D008266:Macula Lutea / Q000473:pathology*; D008875:Middle Aged; D012167:Retinal Perforations / Q000175:diagnosis* / Q000601:surgery; D013577:Syndrome; D041623:Tomography, Optical Coherence; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body / Q000473:pathology*; D020255:Vitreous Detachment / Q000175:diagnosis* / Q000601:surgery