Optical coherence tomography evidence of rapid progression from vitreomacular traction to full thickness macular hole

The authors present a case of a patient with idiopathic vitreomacular traction who subsequently developed a full thickness macular hole 3 weeks following the onset of metamorphopsia. Vitreomacular traction is a well described phenomenon and has been known to resolve spontaneously and in this patient the conservative approach was adopted initially. However, she progressed rapidly to a full thickness macular hole and therefore, the authors recommend close monitoring of such patients with a view to early vitrectomy to prevent progressive morbidity.