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Case Reports
. 2009 Apr;13(2):110-3.

Myopic traction maculopathy: study with spectral domain optical coherence tomography and review of the literature

V Konidaris  1 , S Androudi, P Brazitikos
Affiliations
Case Reports

Myopic traction maculopathy: study with spectral domain optical coherence tomography and review of the literature

V Konidaris et al. Hippokratia. 2009 Apr.

Abstract

Aim: To describe the tomographic findings of a case of myopic traction maculopathy using Spectral Domain Optical Coherence Tomography (SD-OCT) and present the results of its surgical intervention.

Design: Observational case report and review of the literature.

Methods: A 61-year-old male with metamorphopsia was examined clinically and with the use of SD-OCT. The diagnosis of myopic traction maculopathy was made. The patient underwent pars plana vitrectomy with removal of the vitreomacular adhesions, the epiretinal and the internal limiting membrane.

Results: Visual acuity increased by two Snellen lines, metamorphopsia disappeared, macular morphology was improved and myopic traction maculopathy was resolved.

Conclusions: Imaging with SD-OCT is capable of documentation and measurement of the early stages of myopic traction maculopathy. Moreover, vitrectomy was beneficial for the visual and anatomic outcome of the patient.

Keywords: myopic traction maculopathy; spectral domain optical coherence tomography.

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Figures

Figure 1:
Figure 1:. Fundus photography. The focal area of vitreomacular traction in myopic traction maculopathy is usually located outside the fovea.
Figure 2:
Figure 2:. Preoperative images from the SD-OCT showing myopic traction maculopathy with epiretinal and vitreoretinal traction. Visual acuity is 5/10. A: Precise location of pathology and placement of the scan. B: Three dimensional image of the macular area in cubic form. C: Cross section of the macular area. Partial detachment of the posterior hyaloid with continued attachment at the fovea. D: Sagittal section in front of the internal limiting membrane indicating the vitreoretinal traction in the macular area
Figure 3:
Figure 3:. Preoperative image of the macular report of the SD-OCT. Horizontal and vertical crosshair line images indicate the retinal folding in the macular area
Figure 4:
Figure 4:. Postoperative three-dimensional macular thickness map. One month after surgery, retinal thickening is reduced and traction is no longer visible. Visual acuity has increased to 7/10
Figure 5:
Figure 5:. Post-operative fundus photography. Vitreomacular traction is released and imaging of the macula is normal
Figure 6:
Figure 6:. Vertical cross sectional image of the macular area one month after pars plana vitrectomy. The epiretinal and vitreomacular traction is released and the anatomical structure is normal. The macular morphology with retinal microfolds is improved and myopic traction maculopathy is completely resolved
See this image and copyright information in PMC

References

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