Vitreomacular traction syndrome: postoperative functional and anatomic outcomes

Ophthalmic Surg Lasers Imaging Retina. 2015 Feb;46(2):235-42. doi: 10.3928/23258160-20150213-14.


Background and objective: To analyze a variety of vitreomacular traction (VMT) morphologies to establish a major classification that better reflects the preoperative predictive factors of postoperative visual and anatomic outcomes.

Patients and methods: Thirty-six eyes submitted to vitrectomy surgery were categorized with a VMT pattern (V- or J-shaped) and diameter (focal < 1,500 µm or broad > 1,500 µm) based on optical coherence tomography.

Results: The researchers compared different classifications of VMT. Despite similar postoperative best corrected visual acuity (BCVA) values (P = .393), cases with focal VMT had greater visual improvement (P = .027) because the preoperative BCVA was significantly lower in the focal group (P = .007). However, the BCVA improvements did not differ between the groups regarding the classic VMT morphologic patterns (P = .235).

Conclusion: Postoperative outcomes and macular disorders are closely related to VMT size. The adhesion diameter (focal or broad VMT) and not the classic VMT morphologic pattern (V- or J-shaped) may better predict the postoperative anatomic and functional outcomes.

MeSH terms

  • Aged
  • Cohort Studies
  • Eye Diseases / classification
  • Eye Diseases / physiopathology*
  • Eye Diseases / surgery
  • Female
  • Fluorescein Angiography
  • Humans
  • Male
  • Middle Aged
  • Postoperative Period
  • Retinal Diseases / classification
  • Retinal Diseases / physiopathology*
  • Retinal Diseases / surgery
  • Tissue Adhesions / classification
  • Tissue Adhesions / physiopathology
  • Tissue Adhesions / surgery
  • Tomography, Optical Coherence
  • Visual Acuity / physiology*
  • Vitrectomy*
  • Vitreous Body / physiopathology*
  • Vitreous Body / surgery