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Arquivos Brasileiros de Oftalmologia

Print version ISSN 0004-2749On-line version ISSN 1678-2925

Abstract

CUNHA, Leonardo Provetti; COSTA-CUNHA, Luciana Virgínia Ferreira; COSTA, Carolina Ferreira  and  MONTEIRO, Mário Luiz Ribeiro. Ultrastructural changes detected using swept-source optical coherence tomography in severe vitreopapillary traction: a case report. Arq. Bras. Oftalmol. [online]. 2019, vol.82, n.6, pp.517-521.  Epub Sep 30, 2019. ISSN 0004-2749.  http://dx.doi.org/10.5935/0004-2749.20190099.

Vitreopapillary traction is an uncommon condition characterized by strong adhesion and the traction of the posterior hyaloid onto the optic disc and peripapillary retina, leading to optic disc elevation and visual loss. An 85-year-old man presented with a 6-month history of slow, progressive visual loss in the left eye along with optic disc edema. Swept-source optical coherence tomography B-scans revealed circumpapillary anterior-posterior persistent traction of dense vitreous strands onto the optic disc. Visual field examination demonstrated mild, generalized, diffuse sensitivity loss and blind-spot enlargement. A 25-gauge posterior vitrectomy was performed with posterior hyaloid separation from the optic disc, resulting in significant anatomical and visual improvement. In conclusion, swept-source optical coherence tomography aids in understanding the mechanism underlying visual loss in vitreopapillary traction. Moreover, posterior vitrectomy can effectively promote anatomical and visual improvements in these cases.

Keywords : Vitreous body; Tomography, Optical coherence; Papilledema; Epiretinal membrane; Humans; Case reports.

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