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Case Reports
. 2014 Feb 26;5(1):66-71.
doi: 10.1159/000360219. eCollection 2014 Jan.

Spontaneous resolution of vitreomacular traction in two patients with diabetic macular edema

David R P Almeida  1 , Eric K Chin  1
Affiliations
Case Reports

Spontaneous resolution of vitreomacular traction in two patients with diabetic macular edema

David R P Almeida et al. Case Rep Ophthalmol. .

Abstract

The nature of the vitreoretinal interface in conditions like diabetic macular edema (DME) remains incompletely understood. Furthermore, it is not clear what the role of pharmacological enzymatic vitreolysis will play in cases of vitreomacular traction (VMT) associated with macular disease like DME. We describe the spontaneous resolution of VMT in 2 patients with DME. As both surgical and pharmacologic interventions have been suggested to treat DME in the setting of VMT, we feel that a clarification of the nomenclature and reporting of these cases of natural history may be useful in more fully understanding the complex decision-making involved when determining whether to treat this subset of patients.

Keywords: Diabetic macular edema; Vitreomacular adhesion; Vitreomacular traction.

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Figures

Fig. 1
Fig. 1
Spectral domain OCT image of VMT associated with DME. a There is a cystic edema of the fovea and a lamellar edema of the macula temporal to the fovea (CMT 344 μm). There is VMT caused by abnormal vitreomacular adhesion with distortion of the fovea. b After 6 months of observation, the VMT has spontaneously resolved with an improved foveal contour. There is persistent DME (CMT 325 μm).
Fig. 2
Fig. 2
Spectral domain OCT image of VMT associated with mild DME. a There is a cystic edema of the fovea and a small area of lamellar edema temporal to the fovea (CMT 314 μm). There is VMT at the fovea. b After 6 months of observation, the VMT has spontaneously resolved with an improved foveal contour. DME is unchanged with a CMT of 314 μm.
See this image and copyright information in PMC

References

    1. Jackson TL, Nicod E, Simpson A, Angelis A, Grimaccia F, Kanavos P. Symptomatic vitreomacular adhesion. Retina. 2013;33:1503–1511. - PubMed
    1. Russell SR, Hageman GS. Optic disc, foveal, and extrafoveal damage due to surgical separation of the vitreous. Arch Ophthalmol. 2001;119:1653–1658. - PubMed
    1. Jackson TL, Nicod E, Angelis A, Grimaccia F, Prevost AT, Simpson AR, Kanavos P. Vitreous attachment in age-related macular degeneration, diabetic macular edema, and retinal vein occlusion: a systematic review and metaanalysis. Retina. 2013;33:1099–1108. - PubMed
    1. Johnson MW. Posterior vitreous detachment: evolution and role in macular disease. Retina. 2012;32(suppl 2):S174–S178. - PubMed
    1. Simpson AR, Petrarca R, Jackson TL. Vitreomacular adhesion and neovascular age-related macular degeneration. Surv Ophthalmol. 2012;57:498–509. - PubMed

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