Surgical Management of Vitreofoveal Traction Syndrome: Optical Coherence Tomographic Evaluation and Clinical Outcomes

BACKGROUND AND OBJECTIVE: To characterize vitreofovcal traction syndrome and to correlate clinical observations, optical coherence tomography features, and Surgical results. PATIENT S AND METHODS: A retrospective, Consecutive, interventional case series of 36 patients. Clinical and optical coherence tomography features taken from patient charts were compared preoperatively and postoperatively and correlated with visual outcomes. RESULTS: Preoperatively, Visual acuity ranged from 20/40 to 20/400 and improved more than 2 lines in 50% of eyes. A macular hole developed in 2 eyes. The optical coherence tomography, appearance of traction resolved in all eyes; cystic change improved markedly or resolved in 86% of eyes. Preoperative optical coherence tomography features did not correlate with visual acuity. Patients with symptoms for less than a 6-month duration (P = .048 were more likely to obtain a visual acuity of 20/40 or better postoperatively. Presence or resolution of macular cystic changes and subretinal fluid did not correlate with Visual acuity or change (P > .05). CONCLUSION: patients with vitreofoveal traction syndrome usually achieve favorable Visual optical coherence tomography Outcomes after pars plana vitrectomy.