Retinal structural changes in a case of spontaneous resolution of vitreomacular traction syndrome: multimodal retinal imaging approach

Eur J Ophthalmol. 2015 Jan-Feb;25(1):68-72. doi: 10.5301/ejo.5000496. Epub 2014 Jun 2.

Abstract

Purpose: Retinal structural changes in a case of spontaneous resolution of vitreomacular traction (VMT) syndrome were followed by means of multimodal retinal imaging approach.

Methods: Confocal scanning laser ophthalmoscopy (cSLO) including digital infrared and blue reflectance (BR) imaging and spectral-domain optical coherence tomography (SD-OCT) were performed in a young man with VMT syndrome.

Results: At the time of diagnosis, multimodal retinal imaging documented outer retina abnormalities linked to VMT. At 1 month follow-up visit, improvement of best-corrected visual acuity and resolution of metamorphopsia were accompanied by documentation of VMT resolution and outer retina restoration.

Conclusions: Both cSLO and SD-OCT imaging, particularly BR and en face OCT adapted to the outer plexiform layer contour, allowed to depict outer retina changes in the course of VMT resolution. A strict correlation between topographic BR images and en face OCT scans was evident.

Publication types

  • Case Reports

MeSH terms

  • Humans
  • Male
  • Multimodal Imaging
  • Ophthalmoscopy
  • Remission, Spontaneous
  • Retina / pathology*
  • Retinal Diseases / diagnosis*
  • Syndrome
  • Tissue Adhesions
  • Tomography, Optical Coherence / methods
  • Traction
  • Visual Acuity / physiology
  • Vitreous Body / pathology*
  • Vitreous Detachment / diagnosis*
  • Young Adult