TY - JOUR
T1 - Central visual phenomena as clues to vitreomacular traction in patients with normal fundus oculi
AU - Scarinci, Fabio
AU - Sheyman, Alan T.
AU - Jampol, Lee M.
N1 - Publisher Copyright:
© by Ophthamic Communicatins Society, Inc.
PY - 2016/9/1
Y1 - 2016/9/1
N2 - 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.
AB - 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.
KW - Central visual phenomena
KW - Spectral domain-optical coherence tomography
KW - Vitreomacular traction
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U2 - 10.1097/ICB.0000000000000263
DO - 10.1097/ICB.0000000000000263
M3 - Article
C2 - 26674273
AN - SCOPUS:84991377634
SN - 1935-1089
VL - 10
SP - 361
EP - 363
JO - Retinal Cases and Brief Reports
JF - Retinal Cases and Brief Reports
IS - 4
ER -