The expanding spectrum of vitreomacular traction.
BACKGROUND
Vitreomacular traction (VMT) syndrome is characterized as a partial detachment of the posterior vitreous with persistent adherence to the macula. The dynamic process associated with macular traction may induce a variety of macular conditions including cystoid macular edema (CME), epiretinal membranes (ERM), and macular hole formation.


METHODS
Dilated fundus evaluations as well as Stratus and Cirrus optical coherence tomography (OCT) (Zeiss-Humphrey, Dublin, California) imaging were used to evaluate patients with various maculopathies associated with VMT.


CONCLUSIONS
The use of the OCT has enhanced the evaluation of the vitreal-retinal interface, leading to a better understanding of VMT. Once thought to be a rare distinct clinical entity, VMT is now considered a spectrum of macular diseases. The understanding of VMT and its role in the pathophysiology of various macular conditions may facilitate diagnosis and management of these conditions.
Shechtman
Diana L
DL
Nova Southeastern University College of Optometry, Ft. Lauderdale, Florida 33028, USA. dianashe@nova.edu
Dunbar
Mark T
MT
D000369:Aged, 80 and over; D019773:Epiretinal Membrane / Q000209:etiology*; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D008266:Macula Lutea; D008269:Macular Edema / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012164:Retinal Diseases / Q000150:complications* / Q000175:diagnosis / Q000209:etiology*; D012167:Retinal Perforations / Q000209:etiology; D013577:Syndrome; D041623:Tomography, Optical Coherence; D020255:Vitreous Detachment / Q000150:complications* / Q000175:diagnosis