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Transient vitreomacular traction syndrome caused by traumatic incomplete posterior vitreous detachment
Massimo Lorusso1, Luisa Micelli Ferrari, Marco Leozappa
1Unit of Ophthalmology, F Miulli Hospital, Acquaviva delle Fonti, BA, Italy. drmassimolorusso@gmail.com
Purpose:
To report transient vitreomacular traction (VMT) syndrome following acute blunt trauma associated with incomplete posterior vitreous detachment.
Methods:
The authors present the analysis of 2 eyes of consecutive patients with acute VMT following mild blunt trauma. Both patients reported a sudden decrease in visual acuity and metamorphopsia. Spectral domain optical coherence tomography (OCT) images showed typical VMT syndrome.
Results:
The development of complete posterior vitreous detachment demonstrated by OCT, after 15 and 30 days, respectively, was associated with complete resolution of symptoms and complete recovery of foveal architecture.
Conclusions:
The authors report spontaneous resolution of VMT associated with blunt trauma. As spontaneous resolution may occur in some eyes with VMT following traumatic acute incomplete vitreous detachment, a period of observation may be considered prior to vitrectomy. Spectral domain OCT is a useful tool in following the evolution of these patients.
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