Vitreomacular traction spontaneous resolution after pharmacological mydriasis

Bilateral vitreomacular traction syndrome associated with topical pilocarpine 1% ophthalmic solution

“…Due to his disease's uncontrolled progression and the patient's reluctance towards surgical treatment, the patient was started on pilocarpine 1% ophthalmic solution OU. Due to the adverse effects reported with pilocarpine use in recent literature, 4 , 5 , 6 our patient had a baseline fundoscopic examination and a macular SD-OCT prior to the initiation of treatment. At the time, macular SD-OCT showed the absence of a complete posterior vitreous detachment and vitreomacular adhesion without traction ( Fig.…”

“…In 2021, Torregrossa et al reported a case of vitreomacular traction syndrome that spontaneously resolved with topical tropicamide 1%. 4 In 2007, Walker et al reported a case of VTS following administration of topical pilocarpine 2% for the reversal of pharmacological mydriasis. 6 In 2022, Al-Khersan et al published a series of rhegmatogenous retinal detachments associated with the use of pilocarpine for presbyopia (Pilocarpine 1.25%).…”