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Wydanie 1/2006

Zespół trakcji szklistkowo-siatkówkowych VTS (idiopatyczny obrzęk plamki)

Vitreomacular Traction Syndrome (Idiopathic Macular Edema)

Ewa Wójcik

Klinika Okulistyczna Wojskowego Instytutu Medycznego Centralnego Szpitala Klinicznego Wojskowej Akademii Medycznej w Warszawie Kierownik: prof. dr hab. n. med. Andrzej Stankiewicz

Summary: Vitreomacular Traction Syndrome was first described by Jaffe in 1967. The essence of it relies on partial vitreous detachment in posterior pole coexisting with persistent adherence to macular area which results in induced by anteroposterior traction changes in neurosensorial macula, resulting in vision acuity decrease. Although spontaneous traction relieve may occur giving visual acuity improvement and cystic changes absorption, it was observed that in most cases the traction remains stable and delay leads to irreversible changes in macula. The unique effective treatment is surgical removal of changed vitreous or pars plana vitrectomy. In case when VTS coexists with epimacular membrane PPV and ERM peeling with ILM is performed. Vitreous body surgery slowing down macular tractions can significantly improve visual acuity. Vision recovery depends on macular damage at the moment of traction reduction.

Keywords: Vitreomacular Traction Syndrome, epiretinal membranes, internal limiting membrane.

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