Pars Plana Vitrectomy for Vitreomacular Traction Syndrome

The vitreomacular traction syndrome (VMTS) is a clinical entity in which incomplete posterior vitreous detachment is causing traction on the macula. Since in some cases the traction may resolve spontaneously when complete posterior vitreous detachment occurs, vitrectomy is indicated when the duration of traction is longer than 4-6 months and is causing severe visual impairment. The purpose of this study was to investigate the efficacy and safety of pars plana vitrectomy in the treatment of macular disorders caused by vitreomacular traction. In our case the outcome of the vitrectomy and the number and severity of the surgical complications did not differ from the complications when vitrectomy was performed in eyes without vitreomacular traction. With the development of new drugs for nonsurgical treatment of vitreomacular traction by enzymatic vitreolysis, in the future vitrectomy could become restricted only to refractory cases.