Spontaneous Resolution of Vitreomacular Traction Syndrome-A Case Report

玻璃體黃斑部牽引症的自發性消退－病例報告

龔雅欣(Ya-Hsin Kung) ； 吳宗典(Tsung-Tien Wu) ； 莊秋同(Chiu-Tung Chuang) ； 許淑娟(Shwu-Jiuan Sheu)

《中華民國眼科醫學會雜誌》 53卷1期 (2014/04) Pp. 35-39

https://doi.org/10.30048/ACTASOS.201404_53(1).0006

摘要

玻璃體黃斑部牽引症的自發性消退並不常見。在此我們報告一個玻璃體黃斑部牽引症病例，並以光學同調斷層掃瞄來證實其自發性消退的過程。一位40歲女性因為右眼視力模糊已兩個月轉診至本院。眼部檢查發現右眼黃斑部表面不平整，光學同調斷層掃瞄發現右眼為不完全的後玻璃體分離和持續的玻璃體黃斑部附著。一個半月後，光學同調斷層掃瞄顯示為玻璃體黃斑部牽引並產生一個大的囊狀空泡。三個月後，光學同調斷層掃顯示為玻璃體完全分離，黃斑部牽引解除，及視網膜內囊泡消退。視力由零點五進步至零點九。玻璃體黃斑部牽引症病患可考慮每個月追蹤之保守治療，因為自發性分離及視力進步可能會發生。

並列摘要

Spontaneous resolution of vitreomacular traction syndrome (VMT) is rare. Here, we report a case of VMT in which the spontaneously resolution process was well documented by spectral-domain optical coherence tomography (SOCT). A 40-year-old woman was referred due to blurred vision of her right eye for two months. Ophthalmological examination revealed wrinkling of the right macular area, and SOCT showed incomplete posterior vitreous detachment with persistent vitreomacular adhesion OD. One and a half months later, SOCT showed VMT with an evolving, large cystoid space. At three months, SOCT showed total vitreous detachment, release of macular traction, and resolution of the intraretinal cystoid space. The visual acuity improved from 6/12 to 6/6.7. Conservative treatment with monthly follow-up can be considered in patients with VMT because spontaneous separation with improvement of visual acuity may occur.

並列關鍵字

optical coherence tomography ； posterior vitreous detachment ； vitreomacular adhesion ； vitreomacular traction