Purpose: To report a case of spontaneous combined resolution of vitreomacular traction (VMT) and pigment epithelial detachment (PED). Methods: A 70-year-old woman presented with a 10-day history of metamorphopsia in her right eye. Medical history was unremarkable. The patient underwent a complete ophthalmic examination. Best-corrected visual acuity (BCVA) was 20/50 in the right eye. Fundus examination, fluorescein angiography, indocyanine green angiography, and optical coherence tomography (OCT) revealed a shallow elevated area with irregular edges suggestive of drusenoid avascular PED associated with VMT. Results: During the follow-up, OCT showed combined resolution of VMT and PED with almost complete normalization of the outer retinal layers; BCVA increased to 20/40. Conclusions: The temporal sequence of events in our case strongly suggests that the spontaneous resolution of PED could be the consequence of or could be favorably influenced by the VMT resolution.
Resolution of vitreomacular traction and pigment epithelium detachment / Corvi, F; Souied, Eh; Querques, Giuseppe. - In: EUROPEAN JOURNAL OF OPHTHALMOLOGY. - ISSN 1120-6721. - 26:4(2016), pp. E77-E79. [10.5301/ejo.5000742]
Resolution of vitreomacular traction and pigment epithelium detachment
QUERQUES , GIUSEPPE
2016
Abstract
Purpose: To report a case of spontaneous combined resolution of vitreomacular traction (VMT) and pigment epithelial detachment (PED). Methods: A 70-year-old woman presented with a 10-day history of metamorphopsia in her right eye. Medical history was unremarkable. The patient underwent a complete ophthalmic examination. Best-corrected visual acuity (BCVA) was 20/50 in the right eye. Fundus examination, fluorescein angiography, indocyanine green angiography, and optical coherence tomography (OCT) revealed a shallow elevated area with irregular edges suggestive of drusenoid avascular PED associated with VMT. Results: During the follow-up, OCT showed combined resolution of VMT and PED with almost complete normalization of the outer retinal layers; BCVA increased to 20/40. Conclusions: The temporal sequence of events in our case strongly suggests that the spontaneous resolution of PED could be the consequence of or could be favorably influenced by the VMT resolution.
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