Our Experience with Vitreomacular Traction Syndrome Surgery

Overview

Purpose:
Vitreomacular traction syndrome, as a result of a partial posteriorvitreous detachment associated with persistent macular adherens, causes a deto-riation of visual functions. Authors evaluate their results of the surgical treatmentof the vitreomacular traction syndrome.Material and method: Three male and two female (5 eyes) aged from 58 to 69 years(medium 63,8) with vitreomacular traction syndrome were enrolled in the retro-spective study. The antero - posterior traction of the vitreous associated withadhesion around the macula and the optic disc was present in all cases. Macularhole was observed in one case, epiretinal membranes in four cases and partialtraction retinal detachment of the macula were observed in three cases. Pars planavitrectomy combined with an intraocular injection of the expanding gas (4x 30%SF6, 1x 20% C3F8) was performed in all eyes. Epiretinal membrane were removedin eyes, when any evidence was present. The autologous serum was used in patientwith macular hole. Patients maintained the face - down position for 1 weekpostoperatively.Results: The follow up period ranged from 10 to 21 months (mean 12,5 months).The visual acuity improved in two lines of Snellen’s optotype in two cases and didnot changed in two cases. The visual acuity did not change in patient withrecurence of the epiretinal membrane and in the patient with persistent cystoidmacular edema. Visual acuity decreased in one eye with anterior proliferativevitreoretinopaty. This eye is still filled with silicone oil.Conclusion: Pars plana vitrectomy is the method of choice in the surgical treat-ment of the vitreomacular traction syndrome. This patogenic oriented surgeryeliminates one of the possible causes of the vitreomacular traction syndrome:antero-posterior traction of the vitreous.

Key words:
vitreomacular traction syndrome, pars plana vitrectomy