{"id":158,"date":"2020-04-14T10:47:25","date_gmt":"2020-04-14T10:47:25","guid":{"rendered":"https:\/\/ophthalmo-iasis.gr\/?page_id=158"},"modified":"2026-04-06T17:13:51","modified_gmt":"2026-04-06T17:13:51","slug":"158-2","status":"publish","type":"page","link":"https:\/\/ophthalmo-iasis.gr\/en\/158-2\/","title":{"rendered":"Vitreomacular traction syndrome"},"content":{"rendered":"<div class=\"et_pb_section_0 et_pb_section et_section_regular et_block_section\"><div class=\"et_pb_row_0 et_pb_row et_pb_row_3-4_1-4 et_block_row et_block_row_3-4_1-4\"><div class=\"et_pb_column_0 et_pb_column et_pb_column_3_4 et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_image_0 et_pb_image et_pb_module et_block_module\"><span class=\"et_pb_image_wrap\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/ophthalmo-iasis.gr\/wp-content\/uploads\/2020\/04\/logo-new-5.jpg\" width=\"517\" height=\"84\" srcset=\"https:\/\/ophthalmo-iasis.gr\/wp-content\/uploads\/2020\/04\/logo-new-5.jpg 517w, https:\/\/ophthalmo-iasis.gr\/wp-content\/uploads\/2020\/04\/logo-new-5-480x78.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 517px, 100vw\" class=\"wp-image-46\" \/><\/span><\/div><div class=\"et_pb_image_1 et_pb_image et_pb_module et_block_module\"><span class=\"et_pb_image_wrap\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/ophthalmo-iasis.gr\/wp-content\/uploads\/2022\/02\/logo-high-res-300.jpg\" width=\"900\" height=\"140\" srcset=\"https:\/\/ophthalmo-iasis.gr\/wp-content\/uploads\/2022\/02\/logo-high-res-300.jpg 900w, https:\/\/ophthalmo-iasis.gr\/wp-content\/uploads\/2022\/02\/logo-high-res-300-480x75.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 900px, 100vw\" class=\"wp-image-720\" title=\"logo high res 300\" \/><\/span><\/div><div class=\"et_pb_text_0 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><h1><span style=\"font-weight: 400;\">Vitreomacular traction syndrome<\/span><\/h1>\n<\/div><\/div><div class=\"et_pb_text_1 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p style=\"text-align: justify;\"><span style=\"font-weight: 400;\"><\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u00a0<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u00a0<span style=\"font-size: 16px; text-align: justify;\">The vitreous is a transparent, gelatinous material that fills the space inside the eye between the lens and the retina.\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u00a0<span style=\"font-size: 16px; text-align: justify;\">As the eye matures or in certain pathological conditions, the vitreous can pull away from the retina, leading to a condition known as posterior vitreous detachment (PVD). This detachment usually occurs as part of the normal aging process.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px;\">There are cases where the posterior vitreous detachment is incomplete, leaving the vitreous partially attached to the retina and causing traction forces that can cause anatomical damage. The resulting condition is called vitreomacular traction syndrome (VMT).<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u00a0<span style=\"font-size: 16px;\">Vitreoretinal traction syndrome can lead to various disorders in the macular area (in the center of the retina), such as full- or partial-thickness macular holes, epiretinal membranes, and macular edema. These disorders are often accompanied by reduced visual acuity.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u00a0<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><strong style=\"font-size: 16px;\">Symptoms<\/strong><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u00a0<span style=\"font-size: 16px; text-align: justify;\">The most common symptoms that occur in patients with vitreoretinal traction syndrome are:<\/span><span style=\"font-size: 16px;\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Reduced vision<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Light flashes<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Micropsia- Images appear smaller than they are<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Metamorphopsia, when vision becomes distorted and straight lines appear wavy or with gaps<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u00a0<span style=\"font-size: 16px; text-align: justify;\">Some of these symptoms may be mild and develop slowly. However, chronic tractions can lead to ongoing vision loss if left untreated. In some cases, distortion of a visual image may be observed without necessarily reducing visual acuity.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u00a0<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><b style=\"font-size: 16px; text-align: justify;\">Causes<\/b><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u00a0<span style=\"font-size: 16px; text-align: justify;\">Age-related vitreous degeneration leads to the formation of fluid pockets within the vitreous, causing shrinkage and volume loss. Vitreous detachment occurs as a result of the vitreous becoming liquefied.\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u00a0<span style=\"font-size: 16px; text-align: justify;\">Weakening of the vitreous-retinal internal limiting membrane (ILM) attachments can also lead to partial detachment of the posterior vitreous surface, leading to vitreous detachment and possibly vitreoretinal traction syndrome.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u00a0<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><b>Risk factors<\/b><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; text-align: justify;\">Vitreoretinal traction syndrome is more common in older adults and women due to age-related vitreous changes and vitreous liquefaction associated with postmenopausal estrogen decline, respectively.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Other risk factors include:<\/span><span style=\"font-size: 16px; text-align: left;\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\">\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">High myopia<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Age related macular degeneration<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Diabetic macular edema<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Vein occlusion<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Diabetic retinopathy<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u00a0<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><b style=\"font-size: 16px; text-align: justify;\">Diagnosis<\/b><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400;\">Optical coherence tomography (OCT) is a common and recommended method for noninvasive detection and monitoring of vitreoretinal traction syndrome. This technology captures cross-sectional images of the retinal layers, including the surface, and allows physicians to assess the extent to which vitreous traction forces are distorting the retinal structure.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><b>Treatment and outcome<\/b><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u00a0<span style=\"font-size: 16px; text-align: justify;\">There are currently 3 main options for treating vitreoretinal traction syndrome.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u00a0<span style=\"font-size: 16px;\">Watchful waiting and regular monitoring with OCT is often used for patients whose symptoms do not warrant active intervention. Some cases of vitreoretinal traction may resolve without intervention.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\u00a0<span style=\"font-size: 16px; text-align: justify;\">For patients whose symptoms are severe enough to require intervention, vitrectomy surgery is a treatment option. The procedure involves surgically releasing the vitreous adhesion, but it is invasive and carries a corresponding risk of complications. Therefore, vitrectomy is reserved for patients at risk of severe visual impairment. Some studies have shown that shorter duration of symptoms leads to a better prognosis when surgical treatment is used.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px;\">Ocriplasmin (Jetrea\u00ae), a recombinant form of human plasmin, is a pharmacological option for the treatment of vitreoretinal traction syndrome. Clinical trials have demonstrated the efficacy and safety of a single intravitreal injection of ocriplasmin for the treatment of patients with symptomatic vitreoretinal traction. Therefore, Ocriplasmin is a treatment option for some patients who have vitreoretinal adhesion but are not candidates for surgery.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px;\">Most patients with vitreoretinal traction maintain good visual acuity in the affected eye, even if treatment is required.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p>&nbsp;<\/p>\n<\/div><\/div><\/div><div class=\"et_pb_column_1 et_pb_column et_pb_column_1_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_image_2 et_pb_image et_animated et_pb_module et_block_module\"><span class=\"et_pb_image_wrap\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/ophthalmo-iasis.gr\/wp-content\/uploads\/2020\/04\/eye-doctor-05.jpg\" width=\"500\" height=\"611\" srcset=\"https:\/\/ophthalmo-iasis.gr\/wp-content\/uploads\/2020\/04\/eye-doctor-05.jpg 500w, https:\/\/ophthalmo-iasis.gr\/wp-content\/uploads\/2020\/04\/eye-doctor-05-480x587.jpg 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