Spontaneous Resolution of Vitreoretinal-Iinterface Disorders.

Baek, Ji Won; Yang, Ji Wook; Park, Young Hoon

doi:2013.54.9.1379

J Korean Ophthalmol Soc > Volume 54(9); 2013 > Article

Original Article

Journal of the Korean Ophthalmological Society 2013;54(9):1379-1385.
DOI: https://doi.org/10.3341/jkos.2013.54.9.1379 Published online September 15, 2013.

Spontaneous Resolution of Vitreoretinal-Iinterface Disorders.

Ji Won Baek, Ji Wook Yang, Young Hoon Park

Department of Ophthalmology and Visual Science, The Catholic University of Korea College of Medicine, Seoul, Korea. parkyh@catholic.ac.kr

유리체망막 경계면 질환의 자발호전

백지원⋅양지욱⋅박영훈

Department of Ophthalmology and Visual Science, The Catholic University of Korea College of Medicine, Seoul, Korea

Abstract

PURPOSE
To review the mechanisms and clinical patterns of spontaneous resolution of vitreoretinal interface disorders by analyzing cases and available literature on macular hole (MH), vitreoretinal traction (VMT), and epiretinal membrane (ERM). METHODS: Medical records and optical coherence tomography (OCT) images of patients with spontaneous resolution of MH, VMT, and ERM were reviewed. RESULTS: Two eyes with VMT, 3 eyes with idiopathic MH, 3 eyes of traumatic MH (including 1 eye with electrical burn), and 2 eyes with ERM showed spontaneous resolution. All eyes except traumatic MH reached a visual acuity better than 0.5 after resolution. All idiopathic MHs achieved anatomic closure in 6 months, and traumatic MHs in 1 month except for the electrical burn case. Seven out of 10 eyes experienced complete posterior vitreous detachment (PVD) during resolution. CONCLUSIONS: Some cases of vitreoretinal interface disorders can resolve spontaneously with complete PVD or other mechanisms. Indicators predicting spontaneous resolution should be considered in patients with vitreoretinal interface disorder.

Key Words: Epiretinal membrane;Macular hole;Posterior vitreous detachment;Vitreoretinal interface disorder;Vitreomacular traction