Symptomatic Dynamic Vitreomacular Traction Induced By Near-Vision

Keywords

accommodation; near-vision; vitreomacular traction syndrome

Abstract

Purpose:To report a case of dynamic vitreomacular traction secondary to near-response vision demonstrated by optical coherence tomography imaging of macular anatomical changes both pre and post induced near-vision.Methods:Case report and literature review.Results:Dynamic vitreomacular traction led to significant foveal anatomical changes on optical coherence tomography after approximately 15 minutes of induced near-vision, which was associated with bilateral central metamorphopsia that self-resolved after approximately 15-30 minutes. The patient eventually experienced improvement of symptoms in one eye after spontaneous vitreomacular detachment, while the other eye still remained symptomatic.Discussion:The near-vision complex affects movement of the posterior vitreous humor, which may actively contribute to dynamic vitreomacular traction. Therefore, cases of transient central blurring after a self-induced near-response mechanism should be investigated for potential dynamic vitreomacular traction syndrome.

Publication Date

1-1-2016

Publication Title

Retinal Cases and Brief Reports

Volume

10

Issue

3

Number of Pages

214-216

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1097/ICB.0000000000000229

Socpus ID

84973307928 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/84973307928

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