Vitreomacular Traction Syndrome

The advent of new technologies such as high definition optical coherence tomography (OCT) has not only provided unprecedented imaging capabilities, but also raised the need to define concepts not yet settled and often confusing such as the vitreomacular traction (VMT) syndrome. While technological a...

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Main Authors: Juliana Bottós, Javier Elizalde, J Fernando Arevalo, Eduardo B Rodrigues, Maurício Maia
Format: Article
Language:English
Published: Knowledge E 2012-01-01
Series:Journal of Ophthalmic & Vision Research
Subjects:
Online Access:http://www.jovr.org/article.asp?issn=2008-322X;year=2012;volume=7;issue=2;spage=148;epage=161;aulast=Bottós
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author Juliana Bottós
Javier Elizalde
J Fernando Arevalo
Eduardo B Rodrigues
Maurício Maia
author_facet Juliana Bottós
Javier Elizalde
J Fernando Arevalo
Eduardo B Rodrigues
Maurício Maia
author_sort Juliana Bottós
collection DOAJ
description The advent of new technologies such as high definition optical coherence tomography (OCT) has not only provided unprecedented imaging capabilities, but also raised the need to define concepts not yet settled and often confusing such as the vitreomacular traction (VMT) syndrome. While technological advances drive us into the future by clarifying the pathophysiology of many diseases and enabling novel therapeutic options, it is at the same time necessary to review basic disease concepts in addition to definitions and classifications. VMT syndrome is implicated in the pathophysiology of a number of macular disorders, translating into a variety of anatomical and functional consequences underscoring the complexity of the condition. These macular changes are closely related to the VMT configuration and have led to proposing classification of this syndrome based on OCT findings. The size and severity of the remaining vitreomacular attachment may define the specific maculopathy. Focal VMT usually leads to macular hole formation, tractional cystoid macular edema and foveal retinal detachment, while broad VMT is associated with epiretinal membranes, diffuse retinal thickening and impaired foveal depression recovery. Despite similar postoperative visual acuity (VA) in focal and broad VMT subgroups, visual improvement is greater with focal VMT because preoperative VA is frequently lower. Surgical procedures are effective to relieve VMT and improve VA in most eyes; outcomes vary with VMT morphology and the duration of symptoms.
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spelling doaj.art-32cb690d09494a7598fd9f1490c4adf82022-12-22T03:27:02ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2012-01-0172148161Vitreomacular Traction SyndromeJuliana BottósJavier ElizaldeJ Fernando ArevaloEduardo B RodriguesMaurício MaiaThe advent of new technologies such as high definition optical coherence tomography (OCT) has not only provided unprecedented imaging capabilities, but also raised the need to define concepts not yet settled and often confusing such as the vitreomacular traction (VMT) syndrome. While technological advances drive us into the future by clarifying the pathophysiology of many diseases and enabling novel therapeutic options, it is at the same time necessary to review basic disease concepts in addition to definitions and classifications. VMT syndrome is implicated in the pathophysiology of a number of macular disorders, translating into a variety of anatomical and functional consequences underscoring the complexity of the condition. These macular changes are closely related to the VMT configuration and have led to proposing classification of this syndrome based on OCT findings. The size and severity of the remaining vitreomacular attachment may define the specific maculopathy. Focal VMT usually leads to macular hole formation, tractional cystoid macular edema and foveal retinal detachment, while broad VMT is associated with epiretinal membranes, diffuse retinal thickening and impaired foveal depression recovery. Despite similar postoperative visual acuity (VA) in focal and broad VMT subgroups, visual improvement is greater with focal VMT because preoperative VA is frequently lower. Surgical procedures are effective to relieve VMT and improve VA in most eyes; outcomes vary with VMT morphology and the duration of symptoms.http://www.jovr.org/article.asp?issn=2008-322X;year=2012;volume=7;issue=2;spage=148;epage=161;aulast=BottósCystoid Macular Edema; Epiretinal Membranes; HD-OCT; Macular Hole ; Optical Coherence Tomography; Posterior Vitreous Detachment; Vitreomacular Traction Syndrome; Vitreoretinal Interface
spellingShingle Juliana Bottós
Javier Elizalde
J Fernando Arevalo
Eduardo B Rodrigues
Maurício Maia
Vitreomacular Traction Syndrome
Journal of Ophthalmic & Vision Research
Cystoid Macular Edema; Epiretinal Membranes; HD-OCT; Macular Hole ; Optical Coherence Tomography; Posterior Vitreous Detachment; Vitreomacular Traction Syndrome; Vitreoretinal Interface
title Vitreomacular Traction Syndrome
title_full Vitreomacular Traction Syndrome
title_fullStr Vitreomacular Traction Syndrome
title_full_unstemmed Vitreomacular Traction Syndrome
title_short Vitreomacular Traction Syndrome
title_sort vitreomacular traction syndrome
topic Cystoid Macular Edema; Epiretinal Membranes; HD-OCT; Macular Hole ; Optical Coherence Tomography; Posterior Vitreous Detachment; Vitreomacular Traction Syndrome; Vitreoretinal Interface
url http://www.jovr.org/article.asp?issn=2008-322X;year=2012;volume=7;issue=2;spage=148;epage=161;aulast=Bottós
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AT javierelizalde vitreomaculartractionsyndrome
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AT mauriciomaia vitreomaculartractionsyndrome