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November 1967

Macular Retinopathy After Separation of Vitreoretinal Adherence

Author Affiliations

Miami, Fla
From the Department of Ophthalmology, University of Miami School of Medicine, Miami, Fla.

Arch Ophthalmol. 1967;78(5):585-591. doi:10.1001/archopht.1967.00980030587005

A vitreoretinal traction syndrome at the posterior pole of the fundus occurs as a rare complication of posterior vitreous separation. Residual vitreoretinal adherence at the macula may be diagnosed by slit-lamp microscopy using a fundus contact lens. The symptoms usually disappear after the adherence separates. Permanent cystic degeneration results if the adherence persists. A late wrinkling or contraction of the inner layer of the retina may occur as a sequel to vitreoretinal traction. A characteristic appearance results consisting of wrinkling at the level of the internal limiting membrane, increased tortuosity of the perimacular vessels, and a preretinal membrane. The cause of this late maculopathy remains speculative but probably results from a proliferation of residual vitreous remaining on the retina after posterior vitreous separation. This causes contraction or wrinkling of the inner retinal layers.

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