Journal of Ophthalmology (Jan 2017)

An Assessment of Vitreous Degeneration in Eyes with Vitreomacular Traction and Macular Holes

  • Quraish Ghadiali,
  • Sarwar Zahid,
  • Rosa Dolz-Marco,
  • Anna Tan,
  • Michael Engelbert

DOI
https://doi.org/10.1155/2017/6834692
Journal volume & issue
Vol. 2017

Abstract

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Purpose. To compare the stages of vitreous degeneration in patients with vitreomacular traction (VMT) and macular holes (MH). Methods. A retrospective study was performed analyzing stages of vitreous degeneration of eyes with VMT or MH using swept-source optical coherence tomography (SS-OCT) and spectral-domain optical coherence tomography (SD-OCT). An analogous review was performed on a control group of eyes with contralateral posterior vitreous detachments. Thirty-four eyes with VMT/MH and 39 control eyes were reviewed. Results. Twenty-seven VMT/MH eyes and 31 control eyes were included. Eyes with VMT/MH demonstrated significantly earlier stages of vitreous degeneration when compared to the control group (p=0.048) despite significantly greater age (p=0.032). Conclusions. Vitreoretinal interface disease is more often associated with a formed vitreous and an intact premacular bursa. This is contrary to previous assumptions implicating degeneration of vitreous as a precipitating factor of interface disease when in conjunction with abnormal vitreomacular separation.