Clinical Cases

Vitreous-macular traction syndrome Associated with Diabetic Retinopathy

Vitreomacular traction syndrome (VTS) is characterized by a posterior detachment of the incomplete vitreous, resulting in a traction force of anteroposterior and tangential vector at the level of the macula.

Some cases may be asymptomatic, but more severe cases may present with loss of visual acuity, distortion of the image and central visual scotoma.

Approximately 70% of contralateral eyes present some evidence of vitreoretinal interface abnormality documented in OCT, namely the existence of epiretinal membrane, vitreomacular adhesion and lamellar macular hole.

Surgical treatment by vitrectomy is the most valid option for vitreomacular traction syndrome, obtaining better anatomical and functional results. Ocriplasmin treatment is currently an acceptable option in specific cases.

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