Tug of war

Surv Ophthalmol. 2015 Jul-Aug;60(4):366-72. doi: 10.1016/j.survophthal.2014.08.006. Epub 2014 Oct 5.

Abstract

A 74-year-old man had reproducible superior and inferior arcuate visual field defects in the left eye only that were initially believed to be caused by primary open-angle glaucoma. Diagnostic evaluation with the aid of optical coherence tomography revealed extrafoveal vitreomacular traction (VMT) with secondary retinal thickening and schisis. We discuss the evaluation of non-glaucomatous visual field defects and review the literature on the pathogenesis, clinical manifestations, and treatment of VMT syndrome.

Keywords: optical coherence tomography; scotoma; vitreomacular traction.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Diagnosis, Differential
  • Eye Diseases / complications
  • Eye Diseases / diagnosis*
  • Glaucoma, Open-Angle / complications
  • Glaucoma, Open-Angle / diagnosis
  • Humans
  • Male
  • Retinal Diseases / complications
  • Retinal Diseases / diagnosis*
  • Scotoma / diagnosis*
  • Scotoma / physiopathology
  • Tissue Adhesions / complications
  • Tissue Adhesions / diagnosis
  • Tomography, Optical Coherence
  • Visual Field Tests
  • Visual Fields / physiology*
  • Vitreous Body / pathology*