SYMPTOMATIC DYNAMIC VITREOMACULAR TRACTION INDUCED BY NEAR-VISION.

Autor: Griffin DR; University of Central Florida College of Medicine, Orlando, Florida; †Central Florida Retina and the Macular Degeneration Center, Orlando, Florida; and ‡Private practice of Optometry, Titusville, Florida., Tadrus MN, Jensen RB, Richmond PP
Jazyk: angličtina
Zdroj: Retinal cases & brief reports [Retin Cases Brief Rep] 2016 Summer; Vol. 10 (3), pp. 214-6.
DOI: 10.1097/ICB.0000000000000229
Abstrakt: Purpose: To report a case of dynamic vitreomacular traction secondary to near-response vision demonstrated by optical coherence tomography imaging of macular anatomical changes both pre and post induced near-vision.
Methods: Case report and literature review.
Results: Dynamic vitreomacular traction led to significant foveal anatomical changes on optical coherence tomography after approximately 15 minutes of induced near-vision, which was associated with bilateral central metamorphopsia that self-resolved after approximately 15-30 minutes. The patient eventually experienced improvement of symptoms in one eye after spontaneous vitreomacular detachment, while the other eye still remained symptomatic.
Discussion: The near-vision complex affects movement of the posterior vitreous humor, which may actively contribute to dynamic vitreomacular traction. Therefore, cases of transient central blurring after a self-induced near-response mechanism should be investigated for potential dynamic vitreomacular traction syndrome.
Databáze: MEDLINE