Spontaneous Resolution of Vitreomacular Traction Demonstrated by Spectral-Domain Optical Coherence Tomography

Letter of response to “Comment re: Comparison of the horizontal diameter to a modeled area of traction in eyes with vitreomacular traction: is the diameter close enough to the truth?”

“…We fundamentally agree with your previously reported findings [1] that the vitreomacular angle of adhesion appears to be related to the strength of traction exerted by the vitreous, and therefore, seems to be an important factor in the prediction of VMT resolution [2].…”

The design and validation of an optical coherence tomography-based classification system for focal vitreomacular traction

“…Theodossiadis et al 17 described an increasing angle of vitreous insertion as being predictive of VMT spontaneous resolution. However, this was subsequently removed from the classification owing to the high variability of measurements between observers.…”

“…Indeed, published series report varying proportions of successful outcome with that treatment modality, as well as with spontaneous resolution or response to vitrectomy. [6][7][8][9][10][11][12][13][14][15][16][17] The recently published report by Duker et al 18 has highlighted the OCT features of both the focal and broadly adherent subtypes as well as eyes with focal and broadly adherent interfaces where the retinal architecture is not disrupted, termed vitreomacular adhesion (VMA). They also detailed the presence and absence of macular hole in these cases.…”

Intravitreal ocriplasmin: A breakthrough in the treatment of vitreomacular traction?

“…This may be the reason behind incomplete functional and anatomical recovery of the retina after a delayed surgery. 17 Pars plana vitrectomy (PPV) with membrane peeling relieves traction and leads to normalization of the macular architecture and function. 8,13 Reconstitution of the macular neurosensory layers observed on post-operative OCT was identified as the most relevant parameter for visual improvement.…”