Initial observation may be favorable for VMT management

Managing vitreomacular traction through initial observation and OCT imaging may be a favorable clinical course of action, according to a study.

The noncomparative case series evaluated 230 eyes of 185 patients with vitreomacular traction (VMT), with a diagnosis made from clinical symptoms and spectral-domain OCT findings.

At baseline, VMT was diagnosed as grade 1 in 92 eyes, grade 2 in 118 eyes and grade 3 in 20 eyes.

Spontaneous release of VMT occurred in 73 eyes after a mean observation time of 18 months. There was a significant difference in spontaneous resolution rates between grades 1 and 3 and grades 2 and 3, with the rate of release being more frequent in eyes with more prominent traction effects.

Best corrected visual acuity was stable between the initial and final examinations for the grade 1 and 2 groups, but the grade 3 group was significantly different, with 20/85 at the presenting observation to 20/53 at the final observation.

During long-term follow-up, 10 patients underwent pars plana vitrectomy, with six eyes developing a macular hole and four eyes having worsened VMT. The six patients had a surgical closure of the hole, while the four patients had relief of VMT after surgery. BCVA was at least 20/40 in eight of the 10 patients. – by Kristie L. Kahl

Disclosure: The authors report no relevant financial disclosures.

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Source:

Tzu JH, et al. Ophthalmic Surg Lasers Imaging Retina. 2015;doi:10.3928/23258160-20150521-09.