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N Yamada, S Kishi; Surgical Outcomes of Vitreomacular Traction Syndrome . Invest. Ophthalmol. Vis. Sci. 2002;43(13):3525.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose:To describe the tomographic features and surgical outcomes of vitreomacular traction syndrome. Methods:We performed vitreous surgery in 10 eyes of 10 patients with vitreomacular traction syndrome during the past 4 years. Patient's age ranged from 48 to 82 (mean, 64.2). Cross-sectional image of macular lesion was obtained by optical coherence tomography (OCT) before and after surgery. Vitreous surgery consisted of core vitrectomy, separation of vitreomacular attachment and fluid air exchange. Macular hole was not created during surgery. Results:Preoperative OCT showed serous retinal detachment at fovea in 4 eyes. Detached retina was intact in 3 eyes but had cyst in one eye. These eyes restored normal foveal configuration after surgery and obtained visual improvement. Foveal swelling with retinoschisis was seen in 3 eyes preoperatively. After surgery, foveal swelling and retinoschisis gradually diminished and finally restored normal foveal depression. All three eyes showed visual improvement more than 2 line. The remaining 3 eyes showed cystoid macular edema at preoperative OCT. Two eyes developed full-thickness holes 4 months and 10 months after surgery respectively. One eye formed a large cyst with radiating striae simulating stage 1 macular hole. Postoperative visual acuity slightly declined in 2 eyes and remained unchanged in one eye. Conclusion:In vitreous surgery for vitreomacular traction syndrome, favorable outcome is expected in case of foveal detachment or retinal swelling with foveal retinoschisis. However eyes with cystoid macular edema are at high risk for postoperative macular hole formation.
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