Surgical management of vitreofoveal traction syndrome: optical coherence tomographic evaluation and clinical outcomes.

Background and Objective: To characterize vitreofoveal traction syndrome and to correlate clinical observations, optical coherence tomography features, and surgical results.
Patients and Methods: A retrospective, consecutive, interventional case series of 36 patients. Clinical and optical coherence tomography features taken from patient charts were compared preoperatively and postoperatively and correlated with visual outcomes.
Results: Preoperatively, visual acuity ranged from 20/40 to 20/400 and improved more than 2 lines in 50% of eyes. A macular hole developed in 2 eyes. The optical coherence tomography appearance of traction resolved in all eyes; cystic change improved markedly or resolved in 86% of eyes. Preoperative optical coherence tomography features did not correlate with visual acuity. Patients with symptoms for less than a 6-month duration (P = .048) were more likely to obtain a visual acuity of 20/40 or better postoperatively. Presence or resolution of macular cystic changes and subretinal fluid did not correlate with visual acuity or change (P > .05).
Conclusion: Patients with vitreofoveal traction syndrome usually achieve favorable visual optical coherence tomography outcomes after pars plana vitrectomy.
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