To present the natural course vs. vitrectomy for macular oedema in vitreomacular traction syndrome.


52 patients with vitreomacular traction syndrome were examined with mean follow- up of 12 months. Patients had complete ophthalmic examination and spectral domain optical coherence tomography (SD- OCT) on a regular course.

Effectiveness / Safety:

15 eyes had vitrectomy performed and 13 had spontaneous resolution of vitreomacular traction. Additionally, central macular thickness increased in 9 eyes and was stable in 15 eyes. In the vitrectomy group mean visual acuity before surgery was 0.2 and improved to 0.5. Central macular thickness decreased from 492um to 255um. In spontaneous resolution group visual acuity was 0.8 did not change and mean central macular thickness decreased from 298um to 209um. In the stable group visual acuity was 0.5 and did not change and central retinal thickness was 350um and did not change either. Specific SD- OCT characteristics will be discussed.

Take home message:

Best results are achieved in patients with spontaneous resolution of vitreomacular traction, but surgical treatment should be applied in about 1/3 of patients and results in good anatomical and functional results.