Anatomical and Functional Outcomes of Symptomatic Idiopathic Vitreomacular Traction

Wu, Lihteh; Zas, Marcelo; Berrocal, María H.; Arévalo, J. Fernando; Figueroa, Marta S.; Rodriguez, Francisco J.; Serrano, Martin; Graue, Federico; Alezzandrini, Arturo; Gallego-Pinazo, Roberto; Roca, José A.; Iglicki, Matías; Dalma-Weishauz, José; Kozák, Igor; Collado, Alberto; Badal, Josep; Maia, Maurício; Salcedo-Villanueva, Guillermo; Quiroz‐Mercado, Hugo; Fromow-Guerra, Jans; Lozano-Rechy, David; Ávila, Marcos Pereira de; Chhablani, Jay

doi:10.1097/iae.0000000000001015

Cited by 25 publications

(15 citation statements)

References 30 publications

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“…Regarding intraretinal anomalies, the analysis of the 31 eyes with VMT in our series showed that 71.4% (5/7) of the eyes with isolated foveal surface distortion at baseline developed an MH, as compared to only 25% (6/24) of those with associated intraretinal anomalies at baseline, without reaching significance ( p = 0.07). This result could appear paradoxical and in contrast with other reports, where the presence of a foveal elevation has been reported to confer a higher risk of developing MH both in fellow eyes of eyes with MH and in eyes with VMT [10, 16]. Several hypotheses could be proposed to explain this difference.…”

Section: Discussioncontrasting

confidence: 68%

Incidence of Macular Holes in the Fellow Eye without Vitreomacular Detachment at Baseline

Philippakis¹,

Astroz²,

Tadayoni³

et al. 2018

Ophthalmologica

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Purpose: To determine the rate of macular holes (MH) occurring in the fellow eyes of eyes with MH depending on the vitreomacular interface at baseline. Methods: This was a retrospective study of patients operated on for idiopathic MH, with persistent vitreofoveal attachment in the fellow eye assessed by spectral-domain optical coherence tomography (SD-OCT). Follow-up lasted 6 months or more, and the main outcome was the occurrence of an MH. Results: The 77 fellow eyes included had a mean follow-up of 34.11 ± 22.3 months (6–78.4). At baseline, 31 eyes had vitreomacular traction (VMT), 35 vitreomacular adhesion, and 11 no posterior vitreous detachment. MH occurred in 19.5% of the cases (15/77). The rate of MH was significantly higher among the eyes with VMT than among the eyes without VMT at baseline (35.5 vs. 8.7%; p = 0.009). Conclusion: One-third of eyes with VMT at baseline identified by SD-OCT will develop an MH in the following 5 years.

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Section: Discussioncontrasting

confidence: 68%

Incidence of Macular Holes in the Fellow Eye without Vitreomacular Detachment at Baseline

Philippakis¹,

Astroz²,

Tadayoni³

et al. 2018

Ophthalmologica

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“…Over the past two decades, the literatures [3,12,22,[26][27][28][29][30][31][32] available on the incidence of adverse retinal disorders such as macular hole that are associated with VMA has been limited. Furthermore, the findings are quite variable due to differences in a range of factors; these include the study design (cross sectional or longitudinal; prospective or retrospective), the diagnostic tools used (ultrasound, OCT, etc) and the different criteria utilized to define the classification and diagnosis of VMA or vitreomacular separation (with or without acute symptoms) [2-4, 8, 12, 22, 27].…”

Section: Macular Holesmentioning

confidence: 99%

“…Furthermore, the findings are quite variable due to differences in a range of factors; these include the study design (cross sectional or longitudinal; prospective or retrospective), the diagnostic tools used (ultrasound, OCT, etc) and the different criteria utilized to define the classification and diagnosis of VMA or vitreomacular separation (with or without acute symptoms) [2-4, 8, 12, 22, 27]. Additionally, a recent retrospective multicenter study [27] has reported that full thickness macular holes occurred in 7 out of 168 eyes (4.2%) with vitreomacular traction. This differs to some extent to the present retrospective study in which the incidence of full thickness macular holes was 6.5% (8 out of 124 eyes).…”

Section: Macular Holesmentioning

confidence: 99%

OCT proves that vitreomacular adhesion is significantly more likely to develop vision-threatening retinal complications than vitreomacular separation

et al. 2020

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Background: SD-OCT is becoming commonplace in everyday practice. Vitreomacular adhesions (VMAs) are being more routinely diagnosed. Predictive studies to the natural course of VMA are thus clinically significant. Spectral domain-optical coherence tomography (SD-OCT) was presently utilized to analyze the incidence of floaters, the complete vitreomacular separation or VMA, the VMA complication, the vitreomacular angle (VMAng), and the complication mechanism. Methods: Monthly SD-OCT was performed on patients with/without symptomatic floaters. OCT allowed VMA and vitreomacular separation to be compared. The incidence was assessed applying one-tailed Fisher's exact tests. The VMAngs between the inner retina and posterior hyaloid were measured, and the complication mechanism was studied using OCT image. For macular hole (MH), pre-and/or post-operative best corrected visual acuities (BCVAs; LogMAR), refractions and photoreceptor conditions were also evaluated. Results: Totally, 124 eyes were included; there were 116 eyes with VMA and 8 eyes with vitreomacular separation. Considering the percentages over 124 eyes, floaters were present in 14.5% of enrolled eyes (=18/124), consisting of 12.9% of eyes with VMA (16/124) and 1.6% of eyes with vitreomacular separation (2/124). Moreover, there were twelve eyes (9.7%) with VMA-associated vision-threatening complications, including MH (n = 8; 6.5%), retinal detachment (RD; n = 2; 1.6%), vitreomacular traction (VMT; n = 1; 0.8%) and macular pucker (MP; n = 1; 0.8%). Eyes with initial VMA had a significantly greater possibility of complications than eyes with initial vitreomacular separation (p = 0.03). Among these eyes with MH (n = 8), the pre-operative BCVA (LogMAR) was 1.1 ± 0.5, which was insignificantly (p = 0.35) improved to 0.8 ± 0.7 post-operatively. The VMAng of VMA eyes with MHs was 24.2 ± 24.9°( n = 8). The critical VMAng was 13.3°. (Continued on next page)Conclusions: A minority of eyes with VMA or vitreomacular separation had floaters. Moreover, the use of SD-OCT could identify vision-threatening sequelae, namely MH, RD, MP and VMT, and this was significantly more frequent in eyes with VMA than in eyes with complete vitreomacular separation. Therefore, SD-OCT might be a useful way of identifying either identity, and evaluating VMA-associated complications. Whether VMA eyes with MH (n = 8) that have a VMAng greater than critical VMAng have a greater likelihood of tangential traction and subsequent MH needs further investigation.

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“…2,5 Although there are several reports on the natural course of VMT, the frequency of spontaneous release varies widely in the literature. 6,7 Pars plana vitrectomy (PPV) is still the treatment of choice for eyes with broad vitreomacular adhesions and significant ERM component. 2,4 Although the success rate of PPV as a treatment for VMT is high, it carries the risk of cataract formation, endophthalmitis, retinal tear, or detachment.…”

Section: Introductionmentioning

confidence: 99%

Pneumatic release of focal vitreomacular traction

Claus

Feron

Veckeneer

2016

Eye

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Anatomical and Functional Outcomes of Symptomatic Idiopathic Vitreomacular Traction

Abstract: Spontaneous resolution of VMT occurred in 21.4% (36 of 168) of eyes after a mean follow-up of 11.4 ± 12.6 months. An unfavorable anatomical outcome occurred in 7.7% (13 of 168) of eyes. The baseline SD-OCT grade may predict the progression to full-thickness macular hole.

Cited by 25 publications

References 30 publications

Incidence of Macular Holes in the Fellow Eye without Vitreomacular Detachment at Baseline

Incidence of Macular Holes in the Fellow Eye without Vitreomacular Detachment at Baseline

OCT proves that vitreomacular adhesion is significantly more likely to develop vision-threatening retinal complications than vitreomacular separation

Pneumatic release of focal vitreomacular traction

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