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SCIENTIFIC POSTER SESSION

VITREOMACULAR TRACTION SYNDROME IN HIGHLY MYOPIC EYES:
PRE AND POSTOPERATIVE OCT PICTURES CORRELATED TO FUNCTIONAL
RESULTS AFTER PARS PLANA VITRECTOMY
Ratiglia R., MD, Bindella A., MD, Osnaghi S., MD, Mojana F., MD, Pirondini C., MD.
Ospedale Maggiore di Milano IRCCS, University Eye Clinic of Milan, Italy

Purpose: To correlate the functional outcomes to the clinical findings evaluated by OCT of the vitreomacular traction syndrome with macular detachment in high myopia.
Methods: Vitreomacular traction syndrome is a well recognised pathological entity of the vitreomacular interface, but in highly myopic eyes this syndrome is often underestimated. We performed a retrospective study on 7 highly myopic eyes (range: -10 to -24D.), with symptomatic decrease in visual acuity from tractional macular detachment secondary to vitreomacular traction syndrome. Pre and postoperative OCT and FAG pictures are reported. Three-port pars plana vitrectomy was performed in each eye to reattach the retina.
Results: Intraoperative observations confirmed OCT findings with partial posterior hyaloid separation from the attached periferal retina and adherence to the detached macula. In our cases the macula was reattached after surgery in all the eyes; visual acuity for near and far improved in 6 eyes and worsened in 1.
Conclusions: The OCT is compulsory in diagnosis and follow-up of vitreomacular traction syndrome in highly myopic eyes. Macular detachment secondary to vitreomacular traction syndrome in high myopia may be reattached surgically, but visual improvement may be limited in these eyes by persistence of chronic macular edema and presence of other retino-choroidal myopic lesions.