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Case 53

Patient Presentation: An 82-year-old female with a past medical history of coronary artery disease, hypertension, osteoporosis and rheumatoid arthritis presents with decreased vision and metamorphopsia in her right eye.  Visual acuity is 20/50 OD and 20/30 OS.  IOP is stable OU.  Unremarkable anterior segment examination.  The patient’s OCT macula OD is shown below. 

Retina 53-1.png

Question: Which of the following is visualized on the patient’s OCT macula OD?

Question: What is the threshold diameter size used to classify VMT into focal or broad?

Retina 53-3.png

Question: The patient returns 4 months later, and a repeat OCT macula OD is performed which is shown above.  Which of the following do you see on the OCT macula OD above?

Retina 53-5.png

Question: Which of the following should you consider if the patient’s VMT is not released spontaneously?

Learning Objectives:

  1. To recognize the association of epiretinal membranes and vitreomacular traction syndrome.

  2. To recognize the role of OCT in diagnosis and monitoring of vitreoretinal traction syndrome.

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