Stripping of the Posterior Hyaloid for the Treatment of Vitreomacular Traction

Retina. 2023 Dec 1;43(12):2118-2122. doi: 10.1097/IAE.0000000000003454.

Abstract

Purpose: To describe and evaluate the effectiveness of stripping the posterior hyaloid as vitreomacular traction treatment.

Methods: This prospective, consecutive, interventional study examined 10 eyes of 10 patients who underwent vitrectomy for vitreomacular traction.

Results: The best-corrected visual acuity improved from 20/63 (0.5 ± 0.18 logMAR) preoperatively to 20/36 (0.25 ± 0.15 logMAR) 3 months after the surgeries. Optical coherence tomography analysis showed a reduction of the mean foveal thickness from 462 ± 82 µ to 372 ± 28 µ at 3-month follow-up in all the eyes. No postoperative complications were reported.

Conclusion: Stripping of the posterior hyaloid for the treatment of vitreomacular traction could improve the symptoms and visual acuity of patients, alleviating the traction on the macula and avoiding secondary retinal damage as macular hole formation.

MeSH terms

  • Humans
  • Prospective Studies
  • Retina
  • Retinal Diseases* / diagnosis
  • Retinal Perforations* / complications
  • Retinal Perforations* / diagnosis
  • Retinal Perforations* / surgery
  • Retrospective Studies
  • Tomography, Optical Coherence
  • Traction / adverse effects
  • Vision Disorders / surgery
  • Vitrectomy / methods