A Review of Current Management of Vitreomacular Traction and Macular Hole
The paper presents a review of the sequence of events of posterior vitreous detachment (PVD), vitreomacular adhesion (VMA), vitreomacular traction (VMT), and macular hole (MH) from their pathophysiological aspects, clinical features, diagnostic implications, and current management strategies. A trea...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2015/809640 |
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| author | Alfredo García-Layana José García-Arumí José M. Ruiz-Moreno Lluís Arias-Barquet Francisco Cabrera-López Marta S. Figueroa |
| author_facet | Alfredo García-Layana José García-Arumí José M. Ruiz-Moreno Lluís Arias-Barquet Francisco Cabrera-López Marta S. Figueroa |
| author_sort | Alfredo García-Layana |
| collection | DOAJ |
| description | The paper presents a review of the sequence of events of posterior vitreous detachment (PVD), vitreomacular adhesion (VMA), vitreomacular traction (VMT), and macular hole (MH) from their pathophysiological aspects, clinical features, diagnostic implications, and current management strategies. A treatment algorithm to be used in clinical practice in patients with VMA, VMT, and MH based on the presence of symptoms, visual acuity, associated epiretinal membrane, and width of the vitreous attachment is presented. Observation, pharmacologic vitreolysis with ocriplasmin, and surgical treatment are positioned as treatment options in the different steps of the therapeutic algorithm, with clear indications of the paths to be followed according to the initial presenting manifestations and the patient’s clinical course. |
| format | Article |
| id | doaj-art-9e85afe087c24b1a995d2fdb556d9ebe |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-9e85afe087c24b1a995d2fdb556d9ebe2025-02-03T05:48:22ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/809640809640A Review of Current Management of Vitreomacular Traction and Macular HoleAlfredo García-Layana0José García-Arumí1José M. Ruiz-Moreno2Lluís Arias-Barquet3Francisco Cabrera-López4Marta S. Figueroa5Clínica Universidad de Navarra, Avenida de Pío XII 36, 31008 Pamplona, SpainHospital Vall d’Hebron, Passeig de la Vall d’Hebron, 119-129, 08035 Barcelona, SpainHospital Universitario de Albacete, Avenida de Almansa, s/n, 02006 Albacete, SpainHospital de Bellvitge, C/Feixa Llarga, s/n, L’Hospitalet de Llobregat, 08907 Barcelona, SpainComplejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, Avenida Marítima del Sur, s/n, 35016 Las Palmas de Gran Canaria, SpainHospital Universitario Ramon y Cajal Carretera de Colmenar km 9, 28034 Madrid, SpainThe paper presents a review of the sequence of events of posterior vitreous detachment (PVD), vitreomacular adhesion (VMA), vitreomacular traction (VMT), and macular hole (MH) from their pathophysiological aspects, clinical features, diagnostic implications, and current management strategies. A treatment algorithm to be used in clinical practice in patients with VMA, VMT, and MH based on the presence of symptoms, visual acuity, associated epiretinal membrane, and width of the vitreous attachment is presented. Observation, pharmacologic vitreolysis with ocriplasmin, and surgical treatment are positioned as treatment options in the different steps of the therapeutic algorithm, with clear indications of the paths to be followed according to the initial presenting manifestations and the patient’s clinical course.http://dx.doi.org/10.1155/2015/809640 |
| spellingShingle | Alfredo García-Layana José García-Arumí José M. Ruiz-Moreno Lluís Arias-Barquet Francisco Cabrera-López Marta S. Figueroa A Review of Current Management of Vitreomacular Traction and Macular Hole Journal of Ophthalmology |
| title | A Review of Current Management of Vitreomacular Traction and Macular Hole |
| title_full | A Review of Current Management of Vitreomacular Traction and Macular Hole |
| title_fullStr | A Review of Current Management of Vitreomacular Traction and Macular Hole |
| title_full_unstemmed | A Review of Current Management of Vitreomacular Traction and Macular Hole |
| title_short | A Review of Current Management of Vitreomacular Traction and Macular Hole |
| title_sort | review of current management of vitreomacular traction and macular hole |
| url | http://dx.doi.org/10.1155/2015/809640 |
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