Vitreomacular disorders: a review of the classification, pathogenesis and treatment paradigms including new surgical techniques

Prevalence and Associations of Vitreomacular Traction: The Beijing Eye Study

“…The findings in our study may have clinical importance, since VMT may associate with several pathological processes of posterior poles, such as MH, CME, ERM, [2][3][4][5] and even agerelated macular degeneration. 5,10,11 Further studies may assess whether the results of our study help in understanding the pathogenesis of these disorders by showing the correlations of VMT and other ocular and general parameters.…”

“…1 VMT is considered to be associated with a broad spectrum of macular diseases, including cystoid macular edema (CME), epiretinal membrane (ERM) and macular hole (MH), all of which are attributed to common etiology. [2][3][4][5] The hallmark of VMT is a persistent attachment of the vitreous to the macula in eyes with an incomplete posterior vitreous detachment. In the most common form of VMT syndrome, as initially described, 6 the vitreous is separated from the retina throughout the peripheral fundus but remains adherent posteriorly, producing anteroposterior traction on a narrow region of several optic disc areas, usually dumbbell-shaped areas, encompassing macular areas and optic nerves.…”

“…2,7,8 Traction on the retina at the macula causes decreased vision, metamorphopsia, photopsia, and micropsia. [2][3][4][5][7][8][9][10] Among vitreoretinal interface abnormalities, VMT syndrome is probably one of the conditions which has been significantly improved in terms of pathophysiologic concepts.…”

“…However, spectral domain high-resolution OCT (HD-OCT) has provided new insights for the understanding of VMT syndrome by better evaluating the traction of vitreoretinal interface and understanding its relationship with specific macular conditions. 3 , 9 , 10 Despite their clinical significance, besides a series of hospital-based studies, there has been no population-based investigation on the occurrence and associations of VMT with other ocular and general parameters. Therefore, we conducted this study to evaluate the prevalence of VMT and its related factors in population-based investigation.…”

Vitreoretinal interface disorders

“…È possibile identificare tra le alterazioni dell'interfaccia vitreomaculare la trazione vitreomaculare, la membrana epiretinica, fori maculari a tutto spessore e fori lamellari (1,2). Si stima che la prevalenza dei pazienti di età compresa tra i 40 e i 75 anni affetti da patologie dell'interfaccia vitreoretiniche sia del 15,9% (3).…”