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Sometimes the best treatment is no treatment at all


Figure 1. Vitreomacular traction


Dr Allan G Ared
BOptom(Hons) GradCertOcTher FAAO
Omni Eye Centre, Kogarah NSW


Patient JM presented with symptoms of right metamorphosia in April 2014. Her best corrected visual accuracy with a low hypermetropic correction was R 6/9 and L 6/6.

Following a complete ophthalmic work-up, including an OCT examination, a diagnosis of right vitreomacular traction (VMT) was made.

The patient was appropriately counselled and a further review was scheduled for six months unless the patient noticed a change in symptoms.

In this case, a repeated OCT examination was all that was indicated for the patient. At her follow-up review six months later, her symptoms had completely resolved with best corrected vision returning back to 6/6 in each eye.

The OCT images show the initial VMT followed by a natural resolution.


193 Vitreo Macular Traction Figure 2

Figure 2. OCT of patient with colour fundus images


193 Vitreo Macular Traction Figure 3

Figure 3. Vitreomacular traction resolved

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