Diagnosis of vitreoretinal adhesions in macular disease with optical coherence tomography

Retina. 2000;20(2):115-20.


Purpose: To compare the relative incidence of vitreoretinal adhesions associated with partial vitreous separation within the macula diagnosed with optical coherence tomography (OCT) with that of those diagnosed with biomicroscopy.

Methods: The authors obtained linear cross-sectional retinal images using OCT in patients with selected macular diseases. Additional studies included biomicroscopy, fundus photography, fluorescein angiography, and B-scan ultrasonography.

Results: Optical coherence tomography was performed on 132 eyes of 119 patients. Vitreoretinal adhesions within the macula were identified using OCT in 39 eyes (30%) with the following diagnoses: idiopathic epiretinal membrane (n = 13), diabetic retinopathy (n = 7), idiopathic macular hole (n = 7), cystoid macular edema (n = 7), and vitreomacular traction syndrome (n = 5). Biomicroscopy identified vitreoretinal adhesions in only 11 eyes (8%). Two distinct vitreoretinal adhesion patterns were identified with OCT, each associated with partial separation of the posterior hyaloid face: focal (n = 25) and multifocal (n = 14).

Conclusions: Optical coherence tomography is more sensitive than biomicroscopy in identifying vitreoretinal adhesions associated with macular disease.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Diagnostic Techniques, Ophthalmological*
  • Eye Diseases / diagnosis*
  • Eye Diseases / etiology
  • Female
  • Fluorescein Angiography
  • Fundus Oculi
  • Humans
  • Interferometry
  • Light
  • Macula Lutea / pathology*
  • Male
  • Photography
  • Retinal Diseases / diagnosis*
  • Retinal Diseases / etiology
  • Tissue Adhesions / diagnosis
  • Tomography / methods*
  • Vitreous Body / pathology*
  • Vitreous Detachment / complications