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  • Title: Transient vitreomacular traction syndrome caused by traumatic incomplete posterior vitreous detachment.
    Author: Lorusso M, Micelli Ferrari L, Leozappa M, Modoni AP, Micelli Ferrari T.
    Journal: Eur J Ophthalmol; 2011; 21(5):668-70. PubMed ID: 21404220.
    Abstract:
    PURPOSE: To report transient vitreomacular traction (VMT) syndrome following acute blunt trauma associated with incomplete posterior vitreous detachment. METHODS: The authors present the analysis of 2 eyes of consecutive patients with acute VMT following mild blunt trauma. Both patients reported a sudden decrease in visual acuity and metamorphopsia. Spectral domain optical coherence tomography (OCT) images showed typical VMT syndrome. RESULTS: The development of complete posterior vitreous detachment demonstrated by OCT, after 15 and 30 days, respectively, was associated with complete resolution of symptoms and complete recovery of foveal architecture. CONCLUSIONS: The authors report spontaneous resolution of VMT associated with blunt trauma. As spontaneous resolution may occur in some eyes with VMT following traumatic acute incomplete vitreous detachment, a period of observation may be considered prior to vitrectomy. Spectral domain OCT is a useful tool in following the evolution of these patients.
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