Vitreomacular Traction Syndrome: Postoperative Functional and Anatomic Outcomes

Autor: Michael Farah, Mauricio Maia, Eduardo B. Rodrigues, Javier Elizalde, Juliana Bottós
Rok vydání: 2015
Předmět:
Zdroj: Ophthalmic Surgery, Lasers and Imaging Retina. 46:235-242
ISSN: 2325-8179
2325-8160
DOI: 10.3928/23258160-20150213-14
Popis: BACKGROUND AND OBJECTIVE: To analyze a variety of vitreomacular traction (VMT) morphologies to establish a major classification that better reflects the preoperative predictive factors of postoperative visual and anatomic outcomes. PATIENTS AND METHODS: Thirty-six eyes submitted to vitrectomy surgery were categorized with a VMT pattern (V- or J-shaped) and diameter (focal < 1,500 µm or broad > 1,500 µm) based on optical coherence tomography. RESULTS: The researchers compared different classifications of VMT. Despite similar postoperative best corrected visual acuity (BCVA) values (P = .393), cases with focal VMT had greater visual improvement (P = .027) because the preoperative BCVA was significantly lower in the focal group (P = .007). However, the BCVA improvements did not differ between the groups regarding the classic VMT morphologic patterns (P = .235). CONCLUSION: Postoperative outcomes and macular disorders are closely related to VMT size. The adhesion diameter (focal or broad VMT) and not the classic VMT morphologic pattern (V- or J-shaped) may better predict the postoperative anatomic and functional outcomes. [ Ophthalmic Surg Lasers Imaging Retina. 2015;46:235–242.]
Databáze: OpenAIRE