title: Tug of war.
abstract: A 74-year-old man had reproducible superior and inferior arcuate visual field defects in the left eye only that were initially believed to be caused by primary open-angle glaucoma. Diagnostic evaluation with the aid of optical coherence tomography revealed extrafoveal vitreomacular traction (VMT) with secondary retinal thickening and schisis. We discuss the evaluation of non-glaucomatous visual field defects and review the literature on the pathogenesis, clinical manifestations, and treatment of VMT syndrome.
authors.affiliation: Department of Ophthalmology, Duke University Eye Center and Duke University Medical Center, Durham, North Carolina, USA.
authors.forename: Sidney M
authors.initials: SM
authors.lastname: Gospe
authors.affiliation: Department of Ophthalmology, Duke University Eye Center and Duke University Medical Center, Durham, North Carolina, USA; Department of Neurology, Duke University Eye Center and Duke University Medical Center, Durham, North Carolina, USA. Electronic address: tariq.bhatti@duke.edu.
authors.forename: M Tariq
authors.initials: MT
authors.lastname: Bhatti
authors.affiliation: Richmond, VA, USA.
authors.forename: Pamela S
authors.initials: PS
authors.lastname: Chavis
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D005128:Eye Diseases / Q000150:complications / Q000175:diagnosis*; D005902:Glaucoma, Open-Angle / Q000150:complications / Q000175:diagnosis; D006801:Humans; D008297:Male; D012164:Retinal Diseases / Q000150:complications / Q000175:diagnosis*; D012607:Scotoma / Q000175:diagnosis* / Q000503:physiopathology; D000267:Tissue Adhesions / Q000150:complications / Q000175:diagnosis; D041623:Tomography, Optical Coherence; D058609:Visual Field Tests; D014794:Visual Fields / Q000502:physiology*; D014822:Vitreous Body / Q000473:pathology*
keywords: optical coherence tomography; scotoma; vitreomacular traction