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Overview

 

Posterior vitreous detachment (PVD) happens when the vitreous gel pulls away from the retina as the eye ages. Usually, these detachments are a natural aspect of aging.

 

Incomplete PVDs can result in tractional (pulling) forces that can harm anatomical structures by leaving the vitreous partially connected to the retina. Vitreomacular traction syndrome (VMT) is the resultant condition.

 

Different maculopathies or conditions in the macular area (the center of the retina) such as cystoid macular edema, epiretinal membranes, and full- or partial-thickness macular holes can result from VMT syndrome.

 

Treatment

 

For individuals whose symptoms do not call for direct action, watchful waiting and routine OCT monitoring is often used. VMT may resolve on its own in certain instances.

 

One therapeutic option for patients whose symptoms are severe enough to necessitate intervention is vitrectomy surgery, which involves manual removal of vitreous attachment and reduction of traction. Vitrectomy is therefore only performed on patients who are at high risk of developing central blindness or severe visual abnormalities.