Optical coherence tomography findings of incomplete posterior vitreoschisis with vitreomacular traction syndrome and impending macular hole: a case report

Eur J Ophthalmol. 2008 Jan-Feb;18(1):147-9. doi: 10.1177/112067210801800127.

Abstract

Purpose: Vitreomacular traction syndrome is a clinical entity characterized by partial posterior vitreous detachment in combination with persistent macular adherence. Recently, optical coherence tomography (OCT) allowed visualization of incomplete posterior vitreoschisis leading to vitreomacular traction.

Methods: The authors report on a 57-year-old woman with blurred vision in her left eye.

Results: OCT scan showed incomplete posterior vitreoschisis with vitreomacular traction syndrome and impending macular hole in her left eye.

Conclusions: The intraoperative findings together with the evidence that the internal limiting membrane (ILM) thickness is thinner than the axial resolution of the Stratus OCT (8 micronm) and a spontaneous ILM detachment has never been demonstrated are likely to support the hypothesis that posterior vitreoschisis exists and can be associated with vitreomacular traction syndrome.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Humans
  • Macula Lutea / pathology*
  • Middle Aged
  • Retinal Perforations / diagnosis*
  • Retinal Perforations / surgery
  • Syndrome
  • Tomography, Optical Coherence*
  • Visual Acuity
  • Vitrectomy
  • Vitreous Body / pathology*
  • Vitreous Detachment / diagnosis*
  • Vitreous Detachment / surgery