Vitreomacular interface: A case series of adhesion and traction

Abstract

The vitreomacular interface has historically been difficult to clinically evaluate. However, with the advent of optical coherence tomography (OCT), pathology at this interface is becoming easier to diagnose and monitor. Vitreomacular interface attachment can range from adhesions without foveal architectural changes such as in a vitreomacular adhesion (VMA) to tractions leading to architectural changes such as in vitreomacular traction (VMT). Many of these cases can be observed and managed by optometry without consult to a retina specialist.  The following is a presentation of three cases of vitreomacular pathology, with a review of grading system, presentations that have shown to present a higher incidence of spontaneous release, and treatment options.