BACKGROUND AND OBJECTIVE
To assess anatomic and visual outcomes after pars plana vitrectomy for vitreomacular traction syndrome.
PATIENTS AND METHODS
Charts of 746 patients who had vitrectomy surgery with membrane peel between January 2002 and December 2007 were reviewed. Vitreomacular traction syndrome (VMT) was diagnosed based on optical coherence tomography (OCT) appearance. Twenty eyes of 20 patients were found to have had vitrectomy surgery for VMT and were included in the study.
RESULTS
Mean visual acuity was 20/122 preoperatively and 20/68 postoperatively (P = .005). Mean foveal thickness was 404.00 µm preoperatively and 250.55 µm postoperatively (P = .001). A subgroup analysis was performed based on preoperative OCT appearance. Improvement in vision was not significant in eyes with lamellar separation between the inner and outer fovea (P = .379), but was significant in eyes with cystoid macular edema (P = .045) or perifoveal traction (P = .040).
CONCLUSION
Overall, there was a significant improvement in visual acuity and central foveal thickness postoperatively. Eyes with lamellar separation of the inner and outer foveal layers preoperatively had worse visual results, whereas eyes with cystoid macular edema or perifoveal VMT had better visual results.
[Ophthalmic Surg Lasers Imaging 2010;41:425-431.]
AUTHORS
From the Department of Ophthalmology, Tufts Medical Center, Boston, Massachusetts.
Originally submitted August 23, 2009. Accepted for publication January 28, 2010. Posted online May 28, 2010.
Presented at the Association for Research in Vision and Ophthalmology annual meeting, May 3 to 7, 2009, Fort Lauderdale, Florida.
Supported in part by an RPB Challenge grant to the New England Eye Center/Department of Ophthalmology, Tufts University School of Medicine and in part by a departmental grant from Massachusetts Lions.
Dr. Duker is a consultant for Alcon, Genentech, and Ophthotech, is a scientific advisor for Paloma Pharmaceuticals, and receives research support from Optivue and Carl Zeiss Meditec. The remaining authors have no financial or proprietary interest in the materials presented herein.
Dr. Duker did not participate in the editorial review of this manuscript.
Address correspondence to Andre J. Witkin, MD, Tufts Medical Center, 800 Washington Street, Box 450, Boston, MA 02111.
doi: 10.3928/15428877-20100525-07
