Tractional Cytoid Macular Edema: A ubtle Variant of the Vitreomacular Traction yndrome

Purpoe To decribe clinical characteritic and treatment outcome in a erie of patient with tractional cytoid macular edema, a ubtle variant of the vitreomacular traction yndrome. Deign Retropective, uncontrolled, obervational, and interventional cae erie. Method patient population: Ten conecutive patient (11 eye) with multicytoid foveolar thickening caued by localized perifoveal vitreou detachment. experimental procedure: lit-lamp biomicrocopy and fluorecein angiography; confirmation of vitreomacular relationhip with B-can ultraonography, optical coherence tomography (OCT), or both. Vitrectomy with peeling of poterior hyaloid in 8 eye with pretreatment viual acuity ≤20/60. main outcome meaure: Viual acuity and reolution of cytoid macular edema at final follow-up. Reult The median age of ymptom onet wa 71 year (range 48–81 year). hallow perifoveal vitreou detachment wa detectable on biomicrocopy in 8 of 11 eye (73%) and with ultraound and OCT in all eye. Fluorecein angiography revealed no leakage from perifoveal capillarie in 8 eye (73%). After a mean potoperative follow-up of 26.0 month (range 3–84 month), the final viual acuity had improved by 2 or more nellen line and meaured 20/40 or better in 8 (100%) of 8 operated eye. Cytoid foveal thickening reolved in all operated eye. Concluion ubtle, localized perifoveal vitreou detachment may caue anterior traction on the foveola, reulting in multicytoid foveal thickening without macular hole formation or capillary leakage. OCT and ultraound imaging are ueful in detecting the detached poterior hyaloid when clinically inviible. Foveal thickening reolve and viual acuity typically improve after the relief of vitreofoveolar traction.