Factors associated with spontaneous release of vitreomacular traction

David R P Almeida; Eric K Chin; Karim Rahim; James C Folk; Stephen R Russell

doi:10.1097/IAE.0000000000000346

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Factors associated with spontaneous release of vitreomacular traction

Journal article

Peer reviewed

Factors associated with spontaneous release of vitreomacular traction

David R P Almeida, Eric K Chin, Karim Rahim, James C Folk and Stephen R Russell

Retina (Philadelphia, Pa.), Vol.35(3), pp.492-497

03/2015

DOI: 10.1097/IAE.0000000000000346

PMID: 25207947

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Abstract

To analyze the factors that may predict the release of vitreomacular traction (VMT) and vitreomacular adhesion. Retrospective case-control study of sixty-one patients with VMT imaged by optical coherence tomography over at least 3 months. Records from all patients seen at the University of Iowa from January 2012 to September 2013 were screened for the ICD9 code for VMT, vitreomacular adhesion, and epiretinal membrane (379.27 and 362.56). Release of VMT (R-VMT) was defined by resolution of patients' symptoms or traction by optical coherence tomography without surgical intervention or ocriplasmin injection. Individual factors or characteristics were evaluated by chi-square test. Using a binary logistic regression model, the potentially prognostic factors were evaluated for contribution to R-VMT. Of the 61 patients that met entry criteria, 21 (35%) developed R-VMT during optical coherence tomography follow-up, and 40 (65%) did not. Isolated inner retinal distortion without outer retinal involvement was significantly associated with R-VMT (P = 0.01). Vitreous injections were also associated with R-VMT (P = 0.02). Eyes with VMT and isolated inner retinal distortion and those receiving vitreous injections are more likely to develop VMT release without the need for surgical intervention or ocriplasmin treatment.

Retinal Diseases - diagnosis

Tomography, Optical Coherence

Humans

Macula Lutea - physiopathology

Tissue Adhesions - physiopathology

Male

Vitreous Body - physiopathology

Vascular Endothelial Growth Factor A - antagonists & inhibitors

Case-Control Studies

Macular Degeneration - drug therapy

Eye Diseases - diagnosis

Angiogenesis Inhibitors - therapeutic use

Tissue Adhesions - diagnosis

Female

Remission, Spontaneous

Vitrectomy

Aged

Retrospective Studies

Retinal Diseases - physiopathology

Eye Diseases - physiopathology

Fluorescein Angiography

Details

Title: Subtitle: Factors associated with spontaneous release of vitreomacular traction
Creators: David R P Almeida - University of Iowa
Eric K Chin
Karim Rahim - Hotel Dieu Hospital
James C Folk
Stephen R Russell
Resource Type: Journal article
Publication Details: Retina (Philadelphia, Pa.), Vol.35(3), pp.492-497
Publisher: United States
DOI: 10.1097/IAE.0000000000000346
PMID: 25207947
ISSN: 0275-004X
eISSN: 1539-2864
Language: English
Date published: 03/2015
Academic Unit: Ophthalmology and Visual Sciences
Record Identifier: 9983979986802771

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