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Updated: Mar 31, 2026

Binocular Dynamic Visual Acuity in Eyeglass-Corrected Myopic Patients
Published on: March 29, 2022
SYMPTOMATIC DYNAMIC VITREOMACULAR TRACTION INDUCED BY NEAR-VISION
David R Griffin1, Matthew N Tadrus, Richard B Jensen
1*University of Central Florida College of Medicine, Orlando, Florida; †Central Florida Retina and the Macular Degeneration Center, Orlando, Florida; and ‡Private practice of Optometry, Titusville, Florida.
Purpose:
To report a case of dynamic vitreomacular traction secondary to near-response vision demonstrated by optical coherence tomography imaging of macular anatomical changes both pre and post induced near-vision.
Methods:
Case report and literature review.
Results:
Dynamic vitreomacular traction led to significant foveal anatomical changes on optical coherence tomography after approximately 15 minutes of induced near-vision, which was associated with bilateral central metamorphopsia that self-resolved after approximately 15-30 minutes. The patient eventually experienced improvement of symptoms in one eye after spontaneous vitreomacular detachment, while the other eye still remained symptomatic.
Discussion:
The near-vision complex affects movement of the posterior vitreous humor, which may actively contribute to dynamic vitreomacular traction. Therefore, cases of transient central blurring after a self-induced near-response mechanism should be investigated for potential dynamic vitreomacular traction syndrome.
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