Transient vitreomacular traction syndrome caused by traumatic incomplete posterior vitreous detachment.

Abstract

PURPOSE:

To report transient vitreomacular traction (VMT) syndrome following acute blunt trauma associated with incomplete posterior vitreous detachment.

METHODS:

The authors present the analysis of 2 eyes of consecutive patients with acute VMT following mild blunt trauma. Both patients reported a sudden decrease in visual acuity and metamorphopsia. Spectral domain optical coherence tomography (OCT) images showed typical VMT syndrome.

RESULTS:

The development of complete posterior vitreous detachment demonstrated by OCT, after 15 and 30 days, respectively, was associated with complete resolution of symptoms and complete recovery of foveal architecture.

CONCLUSIONS:

The authors report spontaneous resolution of VMT associated with blunt trauma. As spontaneous resolution may occur in some eyes with VMT following traumatic acute incomplete vitreous detachment, a period of observation may be considered prior to vitrectomy. Spectral domain OCT is a useful tool in following the evolution of these patients.

• Authors: Massimo Lorusso, Luisa Micelli Ferrari, Marco Leozappa, Andrea P Modoni, Tommaso Micelli Ferrari
• Journal: European journal of ophthalmology (Eur J Ophthalmol) 2011 Sep-Oct Vol. 21 Issue 5 Pg. 668-70 ISSN: 1724-6016 [Electronic] United States
• PMID: 21404220 (Publication Type: Case Reports, Journal Article)

Topics

• Eye Injuries (complications, diagnosis, physiopathology)
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Remission, Spontaneous
• Retinal Diseases (diagnosis, etiology, physiopathology)
• Tissue Adhesions
• Tomography, Optical Coherence
• Vision Disorders (etiology)
• Visual Acuity (physiology)
• Vitreous Body (injuries, pathology)
• Vitreous Detachment (diagnosis, etiology, physiopathology)
• Wounds, Nonpenetrating (complications, diagnosis, physiopathology)
• Young Adult