Vitreomacular Traction Syndrome in Young Adult-A Case Report

Abstract

The vitreomacular traction syndrome (VTS) is a distinct clinical entity in which partial posterior vitreous detachment (PVD) is present in combination with persistent macular adherence, causing traction-induced visual deficit. Those ocular findings about VTS often are misinterpreted and the diagnosis of vitreomacular traction syndrome often is missed. The alert of the disease combined with careful examination of indirect ophthalmoscopy and the aid of B-scan ultrasonography will achieve the correct diagnosis of the disease. Optical coherence tomography (OCT) is another excellent tool to confirm this syndrome. Because vitreous liquefaction and posterior vitreous detachment is usually an aging process, VTS is an important cause of loss of vision and distorted vision in aged people, and is rarely seen in young patients. We herein report a 22 year-old female patient with typical ocular findings of VTS. She complained of decreased vision and a relative paracentral scotoma of her right eye. A persistent shinning membrane of incomplete PVD and vitreomacular traction was found in indirect ophthalmoscopy and was confirmed by OCT and B-scan ultrasonography. The condition remained the same during 7-month follow-up.