Vitreomacular Traction Syndrome

• Incomplete vitreous separation with persistent vitreous attachment to the macula
• May also lead to the formation of epiretinal membrane, macular puckering, cystoid macular edema with or without fluorescein leakage, tractional macular detachment and frank macular hole
• Spontaneous resolution has been reported

Clinical Features

• Symptoms:
  • May be asymptomatic
  • Decreased vision
  • Metamorphopsia in the presence of macular pucker
• Signs:
  • Dull foveal reflex
  • Wrinkling of the retina
  • Stretching or corrugating appearance of the retinal vessels
  • Pseudohole

Management

• Observation if symptoms have been stable
• Vitrectomy with membrane peeling in patients with worsening vision of less than 20/50 and significant metamorphopsia