SYMPTOMATIC DYNAMIC VITREOMACULAR TRACTION INDUCED BY NEAR-VISION.
OBJECTIVE
To report a case of dynamic vitreomacular traction secondary to near-response vision demonstrated by optical coherence tomography imaging of macular anatomical changes both pre and post induced near-vision.


METHODS
Case report and literature review.


RESULTS
Dynamic vitreomacular traction led to significant foveal anatomical changes on optical coherence tomography after approximately 15 minutes of induced near-vision, which was associated with bilateral central metamorphopsia that self-resolved after approximately 15-30 minutes. The patient eventually experienced improvement of symptoms in one eye after spontaneous vitreomacular detachment, while the other eye still remained symptomatic.


CONCLUSIONS
The near-vision complex affects movement of the posterior vitreous humor, which may actively contribute to dynamic vitreomacular traction. Therefore, cases of transient central blurring after a self-induced near-response mechanism should be investigated for potential dynamic vitreomacular traction syndrome.
*University of Central Florida College of Medicine, Orlando, Florida; †Central Florida Retina and the Macular Degeneration Center, Orlando, Florida; and ‡Private practice of Optometry, Titusville, Florida.
David R
DR
Griffin
Matthew N
MN
Tadrus
Richard B
RB
Jensen
Preston P
PP
Richmond
D000065:Accommodation, Ocular / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012164:Retinal Diseases / Q000503:physiopathology*; D014786:Vision Disorders / Q000209:etiology*; D020255:Vitreous Detachment / Q000503:physiopathology*