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Case Reports
. 2019 Feb 22:14:61-63.
doi: 10.1016/j.ajoc.2019.02.006. eCollection 2019 Jun.

Focal vitreomacular traction: Resolution after ocular massage

José Javier García-Medina  1   2   3 , Mónica Del-Río-Vellosillo  4 , Elena Rubio-Velázquez  1 , María Dolores López-Bernal  1 , Juan José Zafra-Pérez  1
Affiliations
Case Reports

Focal vitreomacular traction: Resolution after ocular massage

José Javier García-Medina et al. Am J Ophthalmol Case Rep. .

Abstract

Purpose: Vitreomacular traction (VMT) is a relatively common ocular disorder that may distort the foveal structure causing visual symptoms. The influence of ocular massage (OM) on this condition has not been considered yet. We aim to report clinical and OCT features of VMT release associated with OM.

Observations: A 70-year-old woman complained about blurred vision and metamorphopsia in her right eye for one month. Her best-corrected visual acuity (BCVA) was 20/50. Macular OCT showed focal VMT in this eye. Moderate intensity, digital OM was performed by an ophthalmologist. However, the traction was still present. The patient was instructed to perform the same OM every 8 hours at home herself. Four days later she indicated disappearance of metamorphopsia, her BCVA increased to 20/25 and OCT showed VMT release with 39-μm foveal thinning.

Conclusions and importance: OM may be useful for focal VMT release.

Keywords: Adhesion; OCT; Ocular massage; Release; Vitreomacular traction.

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Figures

Fig. 1
Fig. 1
Progression of the vitreomacular traction. (A) OCT showing focal vitreomacular traction and (B) release of the traction after 4 days of self-applied digital ocular massage. (C) 39-μm foveal thinning after vitreomacular traction release.
See this image and copyright information in PMC

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