Surgical management of vitreofoveal traction syndrome: Optical coherence tomographic evaluation and clinical outcomes

R. Prince Davis, William E Smiddy, Harry W Flynn, Carmen A. Puliafito

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

■BACKGROUND AND OBJECTIVE: To characterize vitreofoveal traction syndrome and to correlate clinical observations, optical coherence tomography features, and surgical results. ■PATIENTS AND METHODS: A retrospective, consecutive, interventional case series of 36 patients. Clinical and optical coherence tomography features taken from patient charts were compared preoperatively and postoperatively and correlated with visual outcomes. ■RESULTS: Preoperatively, visual acuity ranged from 20/40 to 20/400 and improved more than 2 lines in 50% of eyes. A macular hole developed in 2 eyes. The optical coherence tomography appearance of traction resolved in all eyes; cystic change improved markedly or resolved in 86% of eyes. Preoperative optical coherence tomography features did not correlate with visual acuity. Patients with symptoms for less than a 6-month duration (P = .048) were more likely to obtain a visual acuity of 20/40 or better postoperatively. Presence or resolution of macular cystic changes and subretinal fluid did not correlate with visual acuity or change (P > .05). ■CONCLUSION: Patients with vitreofoveal traction syndrome usually achieve favorable visual optical coherence tomography outcomes after pars plana vitrectomy.

Original languageEnglish
Pages (from-to)150-156
Number of pages7
JournalOphthalmic Surgery Lasers and Imaging
Volume41
Issue number2
DOIs
StatePublished - Mar 1 2010

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ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

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