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Published in: Journal of Medical Case Reports 1/2010

Open Access 01-12-2010 | Case report

Partial-thickness macular hole in vitreomacular traction syndrome: a case report and review of the literature

Authors: Niranjan Kumar, Jamal Al Kandari, Khalid Al Sabti, Vivek B Wani

Published in: Journal of Medical Case Reports | Issue 1/2010

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Abstract

Introduction

Vitreomacular traction syndrome has recently been recognized as a distinct clinical condition. It may lead to many complications, such as cystoid macular edema, macular pucker formation, tractional macular detachment, and full-thickness macular hole formation.

Case presentation

We report a case of vitreomacular traction syndrome with eccentric traction at the macula and a partial-thickness macular hole in a 63-year-old Pakistani Punjabi man. The patient was evaluated using optical coherence tomography, and he underwent a successful pars plana vitrectomy. After the operation, his foveal contour regained normal configuration, and his visual acuity improved from 20/60 to 20/30.

Conclusions

Pars plana vitrectomy prevents the progression of a partial thickness macular hole in vitreomacular traction syndrome. The relief of traction by vitrectomy restores foveal anatomy and visual acuity in this condition.
Appendix
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Literature
1.
go back to reference Hikichi T, Yoshida A, Trempe CL: Course of vitreomacular traction syndrome. Am J Ophthalmol. 1995, 119: 55-61.CrossRefPubMed Hikichi T, Yoshida A, Trempe CL: Course of vitreomacular traction syndrome. Am J Ophthalmol. 1995, 119: 55-61.CrossRefPubMed
2.
go back to reference Hashimoto E, Hirakata A, Hotta K, Shinoda K, Miki D, Hida T: Unusual macular retinal detachment associated with vitreomacular traction syndrome. Br J Ophthalmol. 1998, 82: 326-327. 10.1136/bjo.82.3.326a.CrossRefPubMedPubMedCentral Hashimoto E, Hirakata A, Hotta K, Shinoda K, Miki D, Hida T: Unusual macular retinal detachment associated with vitreomacular traction syndrome. Br J Ophthalmol. 1998, 82: 326-327. 10.1136/bjo.82.3.326a.CrossRefPubMedPubMedCentral
3.
go back to reference Rodriguez A, Infante R, Rodriguez FJ, Valencia M: Spontaneous separation in idiopathic vitreomacular traction syndrome associated with contralateral full-thickness macular hole. Eur J Ophthalmol. 2006, 16: 733-740.PubMed Rodriguez A, Infante R, Rodriguez FJ, Valencia M: Spontaneous separation in idiopathic vitreomacular traction syndrome associated with contralateral full-thickness macular hole. Eur J Ophthalmol. 2006, 16: 733-740.PubMed
4.
go back to reference Figus M, Carpineto P, Romagnoli M, Ferretti C, Di Antonio L, Nardi M: Optical coherence tomography findings of incomplete posterior vitreoschisis with vitreomacular traction syndrome and impending macular hole: a case report. Eur J Ophthalmol. 2008, 18: 147-149.PubMed Figus M, Carpineto P, Romagnoli M, Ferretti C, Di Antonio L, Nardi M: Optical coherence tomography findings of incomplete posterior vitreoschisis with vitreomacular traction syndrome and impending macular hole: a case report. Eur J Ophthalmol. 2008, 18: 147-149.PubMed
5.
go back to reference Giacomo P, Andrea M: Optical coherence tomography findings in myopic traction maculopathy. Arch Ophthalmol. 2004, 122: 1455-1460. 10.1001/archopht.122.10.1455.CrossRef Giacomo P, Andrea M: Optical coherence tomography findings in myopic traction maculopathy. Arch Ophthalmol. 2004, 122: 1455-1460. 10.1001/archopht.122.10.1455.CrossRef
6.
go back to reference Yamada N, Kishi S: Topographic features and surgical outcomes of vitreomacular traction syndrome. Am J Ophthalmol. 2005, 139: 112-117. 10.1016/j.ajo.2004.08.055.CrossRefPubMed Yamada N, Kishi S: Topographic features and surgical outcomes of vitreomacular traction syndrome. Am J Ophthalmol. 2005, 139: 112-117. 10.1016/j.ajo.2004.08.055.CrossRefPubMed
7.
go back to reference Smiddy WE, Michels RG, Glaser BM, de Bustros S: Vitrectomy for macular traction caused by incomplete vitreous separation. Arch Ophthalmol. 1988, 106: 624-628. 10.1016/0002-9394(88)90598-3.CrossRefPubMed Smiddy WE, Michels RG, Glaser BM, de Bustros S: Vitrectomy for macular traction caused by incomplete vitreous separation. Arch Ophthalmol. 1988, 106: 624-628. 10.1016/0002-9394(88)90598-3.CrossRefPubMed
8.
go back to reference McDonald HR, Johnson RN, Schatz H: Surgical results in the vitreomacular traction syndrome. Ophthalmology. 1994, 101: 1397-1402.CrossRefPubMed McDonald HR, Johnson RN, Schatz H: Surgical results in the vitreomacular traction syndrome. Ophthalmology. 1994, 101: 1397-1402.CrossRefPubMed
9.
go back to reference Sonmez K, Capone A, Trese MT, Williams GA: Vitreomacular traction syndrome: impact of anatomical configuration on anatomical and visual outcomes. Retina. 2008, 28: 1207-1214. 10.1097/IAE.0b013e31817b6b0f.CrossRefPubMed Sonmez K, Capone A, Trese MT, Williams GA: Vitreomacular traction syndrome: impact of anatomical configuration on anatomical and visual outcomes. Retina. 2008, 28: 1207-1214. 10.1097/IAE.0b013e31817b6b0f.CrossRefPubMed
10.
go back to reference Georgalas I, Heatley C, Ezra E: Retinal pigment epithelium detachment associated with vitreomacular traction syndrome-case report. Int Ophthalmol. 2009, 29: 431-433. 10.1007/s10792-008-9250-2.CrossRefPubMed Georgalas I, Heatley C, Ezra E: Retinal pigment epithelium detachment associated with vitreomacular traction syndrome-case report. Int Ophthalmol. 2009, 29: 431-433. 10.1007/s10792-008-9250-2.CrossRefPubMed
Metadata
Title
Partial-thickness macular hole in vitreomacular traction syndrome: a case report and review of the literature
Authors
Niranjan Kumar
Jamal Al Kandari
Khalid Al Sabti
Vivek B Wani
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2010
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-4-7

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