Symptomatic dynamic vitreomacular traction during accommodation and head-down posture preceding definitive vitreomacular traction syndrome.
OBJECTIVE
To report a case of progressive vitreomacular traction, definitive optical coherence tomography evidence of established vitreomacular traction, and subsequent spontaneous resolution with posterior vitreous detachment occurrence.


METHODS
Case report and literature review. This study involved a patient presenting to the Retina Clinic at Stoke Mandeville Hospital.


RESULTS
Symptomatic improvement after posterior vitreous detachment.


CONCLUSIONS
Dynamic vitreomacular traction should be suspected in cases of fluctuating central visual disturbance, particularly when associated with accommodation and downward head posture. The authors discuss the possible influence of accommodation and head position.
From the *Oxford Eye Hospital, John Radcliffe Hospital, Headington, Oxford, UK; and the †Department of Ophthalmology, Stoke Mandeville Hospital, Aylesbury, UK.
Faye E
FE
Mellington
Larry
L
Benjamin