The International Vitreomacular Traction Study Group Classification of Vitreomacular Adhesion, Traction, and Macular Hole

Duker, Jay S.; Kaiser, Peter K.; Binder, Susanne; Smet, Marc D. de; Gaudric, Alain; Reichel, Elias; Sadda, Srinivas R; Sebag, J.; Spaide, Richard F.; Stalmans, Peter

doi:10.1016/j.ophtha.2013.07.042

Cited by 883 publications

(778 citation statements)

References 54 publications

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“…2013). The pathophysiology of most of these VMI disorders is based on changes in the vitreous humour.…”

Section: Introductionmentioning

confidence: 99%

“…Incomplete posterior vitreous detachment is associated with abnormal vitreomacular adhesions (Duker et al. 2013). These can become symptomatic and may lead to the development of VMI disorders such as vitreomacular traction and an operculum (Duker et al.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, VMI disorder can trigger other retinal pathologies, such as myopic traction maculopathy, or contribute to the development of more severe diabetic retinopathy (Duker et al. 2013). …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence of optical coherence tomography detected vitreomacular interface disorders: The Maastricht Study

Liesenborghs

Clerck

Berendschot

et al. 2018

Acta Ophthalmologica

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PurposeTo calculate the prevalence of all vitreomacular interface (VMI) disorders and stratify according to age, sex and (pre)diabetes status.MethodsThe presence of VMI disorders was assessed in 2660 participants aged between 40 and 75 years from The Maastricht Study who had a gradable macular spectral‐domain optical coherence tomography (SD‐OCT) volume scan in at least one eye [mean 59.7 ± 8.2 years, 50.2% men, 1531 normal glucose metabolism (NGM), 401 prediabetes, 728 type 2 diabetes (DM2, oversampled)]. A stratified and multivariable logistic regression analysis was used.ResultsThe prevalence of the different VMI disorders for individuals with NGM, prediabetes and DM2 was, respectively, 5.7%, 6% and 6.7% for epiretinal membranes; 6%, 9.6% and 6.8% for vitreomacular traction; 1.1%, 0.7% and 0.3% for lamellar macular holes; 0.1%, 0% and 0% for pseudoholes; 1.1%, 1.9% and 5.5% for macular cysts. None of the participants was diagnosed with a macular hole. The prevalence of epiretinal membranes, vitreomacular traction and macular cysts was higher with age (p < 0.001). Vitreomacular traction and lamellar macular holes were more frequent in women (p < 0.01). DM2 is positively associated [OR = 3.9 (95% CI 2.11–7.22, p < 0.001)] with macular cysts and negatively associated with lamellar macular holes [OR = 0.2 (95% CI 0.04–0.9, p = 0.036)] after adjustment for age and sex. The calculated prevalence of VMI disorders was 15.9%.ConclusionsThe calculated prevalence of VMI disorders in individuals aged between 40 and 75 years is 15.9%. The prevalence depends on age, sex and glucose metabolism status for several types of VMI disorders.

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“…2013). The pathophysiology of most of these VMI disorders is based on changes in the vitreous humour.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of optical coherence tomography detected vitreomacular interface disorders: The Maastricht Study

Liesenborghs

Clerck

Berendschot

et al. 2018

Acta Ophthalmologica

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“…[6][7][8] The ease with which VMT can be diagnosed using OCT has enabled accurate selection of patients for therapeutic interventions with surgery or pharmacological vitreolysis and also enabled detailed studies on classification, staging, and further understanding of the natural history of VMT. [9][10][11][12][13] Although it has been widely recognised that VMT can occur in isolation or in association with common diseases of the macula such as diabetic macular oedema, retinal vein occlusion, posterior uveitis, and age-related macular degeneration, [14][15][16] there have been no published data on the incidence of VMT in the general population or in the population of patients who have been referred to the hospital eye service. Information on how frequently VMT is encountered within the eye clinic setting and how frequently it causes reduced vision in the absence of other coexisting macular pathology are key outcomes, which may help clinicians and public health departments to understand the burden of the condition and to better plan for the provision of resources and delivery of diagnostic and treatment services.…”

Section: Introductionmentioning

confidence: 99%

Spectrum of morphological and visual changes due to vitreomacular interface disorders encountered in a large consecutive cohort of patients

Fusi-Rubiano

Awad

Manjunath

et al. 2015

Eye

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Aim Identify the incidence of vitreomacular traction (VMT) and frequency of reduced vision in the absence of other coexisting macular pathology using a pragmatic classification system for VMT in a population of patients referred to the hospital eye service. Methods A detailed survey of consecutive optical coherence tomography (OCT) scans was done in a high-throughput ocular imaging service to ascertain cases of vitreomacular adhesion (VMA) and VMT using a departmental classification system. Analysis was done on the stages of traction, visual acuity, and association with other macular conditions. Results In total, 4384 OCT scan episodes of 2223 patients were performed. Two hundred and fourteen eyes had VMA/VMT, with 112 eyes having coexisting macular pathology. Of 102 patients without coexisting pathology, 57 patients had VMT grade between 2 and 8, with a negative correlation between VMT grade and number of Snellen lines (r ¼ À 0.61717). There was a distinct cutoff in visual function when VMT grade was higher than 4 with the presence of cysts and sub retinal separation and breaks in the retinal layers. Conclusions VMT is a common encounter often associated with other coexisting macular pathology. We estimated an incidence rate of 0.01% of VMT cases with reduced vision and without coexisting macular pathology that may potentially benefit from intervention. Grading of VMT to select eyes with cyst formation as well as hole formation may be useful for targeting patients who are at higher risk of visual loss from VMT.

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“…[4][5][6][7][8][9][10][11] This stage has been recently redefined as a vitreomacular traction that can be further subclassified by size of the adhesion into focal (r1500 mm) or broad (41500 mm). 12 Several questions remain unanswered with regards to the initial processes and morphological characteristics of the foveal microstructure in stage 1-A MH. Does the early anatomical change occur in the inner or in the outer foveal layers and which is the factor that may influence this topographic relation?…”

Section: Introductionmentioning

confidence: 99%

Focal vitreomacular traction: a prospective study of the evolution to macular hole: the mathematical approach

Theodossiadis

Petrou

Eleftheriadou

et al. 2014

Eye

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Purporse To determine the associated balance of forces of the vitreofoveal interface in focal vitreomacular traction evolving to full-thickness macular hole (FTMH) and to link/explain the observed changes in the context of mathematical and physics models. Patients and methods This is a multicenter, prospective, and observational case series conducted at the Vitreoretinal Department of three different referral centers. Fellow eyes of patients with unilateral idiopathic FTMH were included. Eighty-nine patients were included in the analysis. The fellow normal eye of the study patients was imaged with spectral-domain optical coherence tomography. The main outcome measure was the optical-coherence-tomography-defined characteristics of the vitreofoveal interface and their analysis with mathematical and physics models at the end of follow-up period. Results Of the included 89 patients (66 women and 23 men; mean age±SD, 68.5 years±9.8), 10 (11.2%) developed FTMH at the fellow eye at the end of the follow-up period. We observed two types of vitreofoveal attachment. A V-shaped (cordlike) configuration and a U-shaped configuration. The eyes with the V-shaped attachment demonstrated initial structural changes in the outer foveal layers and the eyes with the U-shaped attachment showed inner morphological changes. Conclusion We hypothesize that the type (V-or U-shaped) of the vitreofoveal attachment may affect the type and location of the initial structural change leading to the formation of FTMH from the stage of the focal vitreomacular traction.

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The International Vitreomacular Traction Study Group Classification of Vitreomacular Adhesion, Traction, and Macular Hole

Cited by 883 publications

References 54 publications

Prevalence of optical coherence tomography detected vitreomacular interface disorders: The Maastricht Study

Prevalence of optical coherence tomography detected vitreomacular interface disorders: The Maastricht Study

Spectrum of morphological and visual changes due to vitreomacular interface disorders encountered in a large consecutive cohort of patients

Focal vitreomacular traction: a prospective study of the evolution to macular hole: the mathematical approach

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