Clinical Features of Vitreomacular Traction Syndrome with Peripheral Vitreoretinal Adhesion

Masanori Fukumoto, Takaki Sato, Shou Oosuka, Teruyo Kida, Hidehiro Oku, Tsunehiko Ikeda Department of Ophthalmology, Osaka Medical College, Takatsuki-City, Osaka, JapanCorrespondence: Tsunehiko IkedaDepartment of Ophthalmology, Osaka Medical College, 2-7 Daigaku-Machi, Takatsuki-City, Osaka 569-8686...

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Autores principales:	Fukumoto M, Sato T, Oosuka S, Kida T, Oku H, Ikeda T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	hypermetropic iatrogenic tear peripheral vitreoretinal adhesion posterior vitreous detachment vitreomacular traction syndrome vitreous surgery Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/bd581e00a81549f88ae91a6b64c99f49
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spelling	oai:doaj.org-article:bd581e00a81549f88ae91a6b64c99f492021-12-02T05:28:43ZClinical Features of Vitreomacular Traction Syndrome with Peripheral Vitreoretinal Adhesion1177-5483https://doaj.org/article/bd581e00a81549f88ae91a6b64c99f492020-01-01T00:00:00Zhttps://www.dovepress.com/clinical-features-of-vitreomacular-traction-syndrome-with-peripheral-v-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Masanori Fukumoto, Takaki Sato, Shou Oosuka, Teruyo Kida, Hidehiro Oku, Tsunehiko Ikeda Department of Ophthalmology, Osaka Medical College, Takatsuki-City, Osaka, JapanCorrespondence: Tsunehiko IkedaDepartment of Ophthalmology, Osaka Medical College, 2-7 Daigaku-Machi, Takatsuki-City, Osaka 569-8686, JapanTel +81-72-684-6434Fax +81-72-682-0995Email tikeda@osaka-med.ac.jpPurpose: To retrospectively review and analyze the clinical and imaging data of patients with vitreomacular traction syndrome (VMTS) with strong peripheral vitreoretinal adhesion.Subjects and Methods: This retrospective case-series study involved 4 eyes of 4 VMTS patients with vitreoretinal adhesion in both the macular region and the periphery who underwent vitreous surgery. In all 4 cases, preoperative refraction, fundoscopic findings, optical coherence tomography (OCT) findings, and intraoperative findings were evaluated.Results: The preoperative fundoscopy and OCT findings revealed fibrous membranes around the optic nerve head in 3 eyes. Thickened posterior vitreous membranes extending from the posterior pole to the periphery were observed in all eyes. Apparent VMTS or epimacular membrane was also found in the fellow eyes of 2 patients. The preoperative refractive errors ranged from +0.5 diopters (D) to +2.75 D (mean, +1.13 D). Intraoperatively, a thickened posterior vitreous membrane was found strongly adhered to the retina in the macula regions, optic nerve head, and periphery. In 2 eyes, when artificial posterior vitreous detachment (PVD) was created, an iatrogenic tear developed in the periphery.Conclusion: The features of VMTS that cause strong peripheral vitreoretinal adhesion include the preoperative presence of a thickened posterior vitreous membrane over a wide area, hypermetropia, and a short axial length.Keywords: hypermetropic, iatrogenic tear, peripheral vitreoretinal adhesion, posterior vitreous detachment, vitreomacular traction syndrome, vitreous surgeryFukumoto MSato TOosuka SKida TOku HIkeda TDove Medical Pressarticlehypermetropiciatrogenic tearperipheral vitreoretinal adhesionposterior vitreous detachmentvitreomacular traction syndromevitreous surgeryOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 281-286 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	hypermetropic iatrogenic tear peripheral vitreoretinal adhesion posterior vitreous detachment vitreomacular traction syndrome vitreous surgery Ophthalmology RE1-994
spellingShingle	hypermetropic iatrogenic tear peripheral vitreoretinal adhesion posterior vitreous detachment vitreomacular traction syndrome vitreous surgery Ophthalmology RE1-994 Fukumoto M Sato T Oosuka S Kida T Oku H Ikeda T Clinical Features of Vitreomacular Traction Syndrome with Peripheral Vitreoretinal Adhesion
description	Masanori Fukumoto, Takaki Sato, Shou Oosuka, Teruyo Kida, Hidehiro Oku, Tsunehiko Ikeda Department of Ophthalmology, Osaka Medical College, Takatsuki-City, Osaka, JapanCorrespondence: Tsunehiko IkedaDepartment of Ophthalmology, Osaka Medical College, 2-7 Daigaku-Machi, Takatsuki-City, Osaka 569-8686, JapanTel +81-72-684-6434Fax +81-72-682-0995Email tikeda@osaka-med.ac.jpPurpose: To retrospectively review and analyze the clinical and imaging data of patients with vitreomacular traction syndrome (VMTS) with strong peripheral vitreoretinal adhesion.Subjects and Methods: This retrospective case-series study involved 4 eyes of 4 VMTS patients with vitreoretinal adhesion in both the macular region and the periphery who underwent vitreous surgery. In all 4 cases, preoperative refraction, fundoscopic findings, optical coherence tomography (OCT) findings, and intraoperative findings were evaluated.Results: The preoperative fundoscopy and OCT findings revealed fibrous membranes around the optic nerve head in 3 eyes. Thickened posterior vitreous membranes extending from the posterior pole to the periphery were observed in all eyes. Apparent VMTS or epimacular membrane was also found in the fellow eyes of 2 patients. The preoperative refractive errors ranged from +0.5 diopters (D) to +2.75 D (mean, +1.13 D). Intraoperatively, a thickened posterior vitreous membrane was found strongly adhered to the retina in the macula regions, optic nerve head, and periphery. In 2 eyes, when artificial posterior vitreous detachment (PVD) was created, an iatrogenic tear developed in the periphery.Conclusion: The features of VMTS that cause strong peripheral vitreoretinal adhesion include the preoperative presence of a thickened posterior vitreous membrane over a wide area, hypermetropia, and a short axial length.Keywords: hypermetropic, iatrogenic tear, peripheral vitreoretinal adhesion, posterior vitreous detachment, vitreomacular traction syndrome, vitreous surgery
format	article
author	Fukumoto M Sato T Oosuka S Kida T Oku H Ikeda T
author_facet	Fukumoto M Sato T Oosuka S Kida T Oku H Ikeda T
author_sort	Fukumoto M
title	Clinical Features of Vitreomacular Traction Syndrome with Peripheral Vitreoretinal Adhesion
title_short	Clinical Features of Vitreomacular Traction Syndrome with Peripheral Vitreoretinal Adhesion
title_full	Clinical Features of Vitreomacular Traction Syndrome with Peripheral Vitreoretinal Adhesion
title_fullStr	Clinical Features of Vitreomacular Traction Syndrome with Peripheral Vitreoretinal Adhesion
title_full_unstemmed	Clinical Features of Vitreomacular Traction Syndrome with Peripheral Vitreoretinal Adhesion
title_sort	clinical features of vitreomacular traction syndrome with peripheral vitreoretinal adhesion
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/bd581e00a81549f88ae91a6b64c99f49
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Clinical Features of Vitreomacular Traction Syndrome with Peripheral Vitreoretinal Adhesion

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