Central visual phenomena as clues to vitreomacular traction in patients with normal fundus oculi

Fabio Scarinci*, Alan T. Sheyman, Lee M. Jampol

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To report two cases where the primary visual complaints were central visual phenomena, with normal fundus biomicroscopy. Methods: History and clinical examination, fundus autofluorescence, and spectral domain-optical coherence tomography. Results: The authors report 2 patients, a 66-year-old woman and a 77-year-old woman, who complained of a central visual disturbance in one eye. Best-corrected visual acuity was normal. Ophthalmoscopy in the first case was unremarkable and showed minimal retinal pigment epithelial mottling in Case 2. Spectral domain-optical coherence tomography revealed vitreomacular traction with foveal distortion in both eyes, associated with small cysts in the inner retinal layers and in one patient disruption of photoreceptors. Conclusion: Central visual phenomena are important clues for central vitreomacular traction, even in the presence of a normal fundus examination. The authors highlight the importance of performing spectral domain-optical coherence tomography evaluation in this setting before considering neurologic or systemic causes.

Original languageEnglish (US)
Pages (from-to)361-363
Number of pages3
JournalRetinal Cases and Brief Reports
Volume10
Issue number4
DOIs
StatePublished - Sep 1 2016

Keywords

  • Central visual phenomena
  • Spectral domain-optical coherence tomography
  • Vitreomacular traction

ASJC Scopus subject areas

  • Ophthalmology

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