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Vitrectomy for vitreomacular traction syndrome with macular detachment
N S Melberg1, D F Williams, M W Balles
1Retina Consultants, Ltd., St. Louis, Missouri, USA.
Purpose:
To describe the clinical characteristics of the vitreomacular traction syndrome with macular detachment and to report our surgical experience with this condition.
Methods:
A retrospective chart and photographic review was performed on nine patients (nine eyes) who had a symptomatic decrease in visual acuity from a macular traction retinal detachment caused by vitreomacular traction syndrome. Vitrectomy was performed in each eye to reattach the retina.
Results:
Intraoperative observation confirmed partial posterior vitreous separation with adherence of the posterior hyaloid to the detached retina and separation of the posterior hyaloid from the attached retina. After surgery the macula was reattached in seven eyes (78%). Visual acuity was improved in four eyes, stable in four eyes, and worse in one eye.
Conclusion:
Macular detachment may occur secondary to vitreomacular traction syndrome. Although the retina may be reattached surgically in these cases, visual improvement may be limited by chronic detachment, premacular fibrosis, cystoid macular edema, or macular schisis.