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 sud...

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Veröffentlicht in:European journal of ophthalmology 2011-09, Vol.21 (5), p.668-670
Hauptverfasser: Lorusso, Massimo, Ferrari, Luisa Micelli, Leozappa, Marco, Modoni, Andrea P., Ferrari, Tommaso Micelli
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container_end_page 670
container_issue 5
container_start_page 668
container_title European journal of ophthalmology
container_volume 21
creator Lorusso, Massimo
Ferrari, Luisa Micelli
Leozappa, Marco
Modoni, Andrea P.
Ferrari, Tommaso Micelli
description 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.
doi_str_mv 10.5301/EJO.2011.6425
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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. 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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. 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subjects Eye Injuries - complications
Eye Injuries - diagnosis
Eye Injuries - physiopathology
Female
Follow-Up Studies
Humans
Male
Middle Aged
Remission, Spontaneous
Retinal Diseases - diagnosis
Retinal Diseases - etiology
Retinal Diseases - physiopathology
Tissue Adhesions
Tomography, Optical Coherence
Vision Disorders - etiology
Visual Acuity - physiology
Vitreous Body - injuries
Vitreous Body - pathology
Vitreous Detachment - diagnosis
Vitreous Detachment - etiology
Vitreous Detachment - physiopathology
Wounds, Nonpenetrating - complications
Wounds, Nonpenetrating - diagnosis
Wounds, Nonpenetrating - physiopathology
Young Adult
title Transient Vitreomacular Traction Syndrome caused by Traumatic Incomplete Posterior Vitreous Detachment
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