Surgical technique to avoid deroofing in advanced vitreomacular traction

Abstract

We report a novel management technique in case of advanced vitreomacular traction which avoids deroofing of macula and prevent the formation of iatrogenic macular hole. The primary treatment modality in the management of such cases is pars plana vitrectomy with posterior vitreous detachment (PVD) induction and with or without membrane peeling. We performed pars plana vitrectomy with minimal induction of PVD and release of traction all around the macula. No membrane peeling was done due to risk of deroofing of the macula and formation of iatrogenic macular hole. Postoperative course was stable with improvement in visual acuity (VA) and flattening of macula. This technique marked an alternative surgical approach in treatment of advanced vitreomacular traction.

Keywords

• Iatrogenic macular hole
• pars plana vitrectomy
• posterior vitreous detachment
• vitreomacular traction