유리체황반견인증후군의 임상 양상과 유리체절제술의 효과

Clinical Manifestation and Result of Vitrectomy of Vitreomacular Traction Syndrome

Purpose: To investigate the clinical manifestation and the result of vitrectomy in patients with vitreomacular traction syndrome. Methods: Optical coherent tomography (OCT) was used to evaluate the clinical manifestation and the results of vitrectomy for 26 eyes with vitreomacular traction syndrome. Results: Spontaneous relief of vitreomacular traction was achieved in 3 of 8 eyes after a mean follow-up duration of 9 months. One eye recovered visual acuity, but the other 2 eyes could not attain better visual acuity because of persistent sponge-like macular edemas. Six of 13 eyes (46%) improved by two or more lines of visual acuity after vitrectomy. The presence of simple macular cysts without sponge-like macular edemas or tractional retinal detachment seemed to be related to good results after vitrectomy. Conclusions: Vitrectomy is a preferable way to treat vitreomacular traction syndrome. Preoperative OCT could predict the surgical prognosis. J Korean Ophthalmol Soc 2008;49(9):1468-1474