Clinical Manifestation and Result of Vitrectomy of Vitreomacular Traction Syndrome.

Rhim, Won Il; Kim, Hyung Soo; Lee, Eun Koo

doi:2008.49.9.1468

J Korean Ophthalmol Soc > Volume 49(9); 2008 > Article

Original Article

Journal of the Korean Ophthalmological Society 2008;49(9):1468-1474.
DOI: https://doi.org/10.3341/jkos.2008.49.9.1468 Published online September 15, 2008.

Clinical Manifestation and Result of Vitrectomy of Vitreomacular Traction Syndrome.

Won Il Rhim, Hyung Soo Kim, Eun Koo Lee

Kong Eye Clinic, Seoul, Korea. euklee@chollian.net

유리체황반견인증후군의 임상 양상과 유리체절제술의 효과

임원일ㆍ김형수ㆍ이은구

Kong Eye Clinic, Seoul, Korea

Abstract

PURPOSE
To investigate the clinical manifestation and the result of vitrectomy in patients with vitreomacular traction syndrome. METHODS: Optical coherent tomography (OCT) was used to evaluate the clinical manifestation and the results of vitrectomy for 26 eyes with vitreomacular traction syndrome. RESULTS: Spontaneous relief of vitreomacular traction was achieved in 3 of 8 eyes after a mean follow-up duration of 9 months. One eye recovered visual acuity, but the other 2 eyes could not attain better visual acuity because of persistent sponge-like macular edemas. Six of 13 eyes (46%) improved by two or more lines of visual acuity after vitrectomy. The presence of simple macular cysts without sponge-like macular edemas or tractional retinal detachment seemed to be related to good results after vitrectomy. CONCLUSIONS: Vitrectomy is a preferable way to treat vitreomacular traction syndrome. Preoperative OCT could predict the surgical prognosis.

Key Words: Optical coherent tomography;Vitrectomy;Vitreomacular traction syndrome