Vitreous surface adhesion and persistence of ERM may be the prognostic factors for the natural course of the VMT. We observed spontaneous resolution of VMT in eyes with less vitreous surface adhesion and without ERMs. In eyes with higher vitreous surface adhesion or coexisting ERM, pars plana vitrectomy with internal limiting membrane peeling should perhaps be performed.
SD-OCT proves that MPH may progress to LMH without any vitreous traction. Progressive contraction of epiretinal membranes may be a cause of both MPH and LMH, being an advanced stage of the same non-full-thickness macular disorder.
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