Vitreomacular traction - a review.
Journal
Eye (London, England)
Journal Volume
39
Journal Issue
4
Start Page
Article number 100019
ISSN
1476-5454
Date Issued
2025-03
Author(s)
Ketkar, Manasi
Dave, Vivek Pravin
de Ribot, Francesc March
Sallam, Ahmed B
Shettigar, Manoj P
Soedarman, Soefiandi
Liu, Laura
Wu, Lihteh
Hattenbach, Lars-Olaf
Pathengay, Avinash
Pappuru, Rajeev Reddy
Abstract
Vitreomacular traction (VMT) is characterised by abnormal adhesion of the posterior cortical vitreous with the macula causing distortion of the foveal contour and associated with symptoms of reduction in visual acuity and/or metamorphopsia. This review article explores the pathophysiology, clinical features, diagnostic and treatment options for VMT. Advances in imaging modalities such as optical coherence tomography (OCT) have revolutionized the understanding of the vitreoretinal interface abnormalities and helps in monitoring the disease progression. The natural history of VMT is variable and either there can be a spontaneous resolution or can present with cystoid oedema or can progress to epiretinal membrane (ERM) or macular hole. In the current manuscript, we perform a major review of the existing literature on VMT and adding the details about the current investigative modalities and surgical techniques.
Type
review article