Transient Vitreomacular Traction Syndrome caused by Traumatic Incomplete Posterior Vitreous Detachment

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.