Retinal pigment epithelium detachment associated with vitreomacular traction syndrome—case report

Purpose To report the unusual association of vitreomacular traction syndrome (VMT) with retinal pigment epithelium (RPE) detachment and describe the outcomes of successful surgery. Methods An 84-year-old man was referred with 6-month history of blurred vision in his RE. Best-corrected visual acuity (BCVA) was “counting fingers.” Slit-lamp examination revealed VMT overlying a RPE detachment. The above findings were confirmed by optical coherence tomography (OCT). Pars plana vitrectomy and internal limiting membrane (ILM) peeling were performed. OCT was carried out at 3, 6, 9, and 11 months postoperatively. Results Eight weeks postoperatively BCVA improved to 6/60. Slit-lamp examination and OCT showed relief of the vitreomacular traction, however the underlying RPE detachment remained unchanged and progressively regressed during the following 11 months. Visual acuity did not improve above 6/36 at the last follow-up visit. Conclusion Retinal pigment epithelium detachment could be associated with VMT. Although the incidence is rare, it may compromise the outcomes of successful surgery.