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Amilia Schrier, Edward F Smith, Matthew Gorski, Songeun Lee, William M Schiff; Resolution of Symptomatic Vitreomacular Traction Following Cataract Surgery Alone. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):675.
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© ARVO (1962-2015); The Authors (2016-present)
Vitreomacular traction (VMT) may be associated with ocular morbidity. The purpose of this study is to describe the resolution of symptomatic VMT with or without macula hole (MH) following cataract extraction with intraocular lens (CE) surgery alone.
Charts of three patients were reviewed who had resolution of VMT with or without MH after having had CE alone prior to scheduled retina surgery for symptomatic VMT with or without MH. Amsler grid, visual acuity, and optical coherence tomography (OCT) were assessed pre CE and post CE in all patients.
Three patients - 2 female, 1 male - mean age 63 (range 62-64) presented with symptomatic VMT with or without MH evidenced by metamorphopsia on amsler grid, decreased visual acuity 20/100 - 20/40, and OCT findings demonstrative of VMT with or without MH. Within 1.7 weeks (range 1-3 weeks) after CE alone, prior to planned vitreous surgery, the three patients had improved metamorphopsia on amsler grid, improved visual acuity 20/30 - 20/20, and resolution of VMT on OCT.
CE alone resulted in the resolution of VMT with or without MH and may be considered in the treatment paradigm for phakic patients with symptomatic VMT. Further prospective studies should assess the role of CE in the mangement of VMT prior to vitrectomy or intravitreal injection.
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