[Show abstract][Hide abstract] ABSTRACT: To report the acute and transient (within 10 days) presentation of vitreomacular traction following routine cataract surgery.
This is a case series of 5 patients with no evidence of posterior vitreous detachment preoperatively who presented with acute vitreomacular traction following routine cataract surgery. All patients presented the first postoperative day with dramatically reduced visual acuity. The patients underwent optical coherence tomography and if necessary fundus fluorescein angiography. Images were suggestive of vitreomacular syndrome.
In all 5 cases, there was spontaneous resolution of the traction within 10 days. The latter was probably related to the development of posterior vitreous detachment due to the uncomplicated cataract surgery. In 2 cases there were significant retinal pigment epithelium changes and decreased retinal thickness following the resolution of the traction leaving permanent metamorphopsia and slightly decreased visual acuity.
Cataract-related acute vitreomacular traction is a rare phenomenon and not well-recognized; however, it resolves spontaneously within 10 days.
No preview · Article · Jan 2011 · European journal of ophthalmology
[Show abstract][Hide abstract] ABSTRACT: Lamellar macular hole (LMH) represents a well-defined clinical entity with variable pathophysiologic mechanisms and a controversial therapeutic approach. The purpose of the present work is to present a patient with an epiretinal membrane (ERM)-associated LMH on the background of exudative age-related macular degeneration (AMD) that was successfully managed with pars plana vitrectomy.
Interventional case report.
A 67-year-old man presented with progressive visual loss OS of 5 months' duration. He was diagnosed with an ERM-associated LMH with coexisting subretinal fluid arising by a neovascular membrane on the background of exudative AMD confirmed with fundus fluorescein angiography. He underwent a 3-port pars plana vitrectomy with ERM-internal limiting membrane peeling and gas tamponade (14% C3F8) for treatment of the LMH and ERM with a view to undergo anti-vascular endothelial growth factor treatment for the exudative AMD. Postoperative optical coherence tomography demonstrated complete closure of the LMH with simultaneous total subretinal fluid absorption that was maintained at the 2-month follow-up period.
To our knowledge, this is the first report whereby pars plana vitrectomy in a patient with an ERM-associated LMH on the background of exudative AMD resulted in improvement of both clinical entities. The latter strengthens the role of vitreous traction elimination in exudative AMD and highlights the need for further research.
No preview · Article · Nov 2010 · European journal of ophthalmology