Spontaneous resolution of idiopathic vitreomacular traction syndrome in a healthy young man.

Objective: To report a case of spontaneous resolution of idiopathic vitreomacular traction syndrome developed in a healthy young man.

Methods: To exam the macular region using Optical coherence tomography (OCT).

Results: OCT examination revealed an incomplete posterior vitreous detachment (PVD) which remains broad vitreous adhesion at the macular area. The foveal thickness increase to 573 μm. The maximal diameter of the adhesion suggested the broad Vitreomacular traction (VMT) type. The posterior vitreous cortex was revealed as a highly reflective band. After 6 weeks without surgery, the patient reported spontaneous improvement in visual symptoms. OCT revealed a complete PVD without macular traction. The foveal contour restored and the foveal thickness decreased markedly to 213 μm.

Conclusions: A comprehensive OCT evaluation of the vitreoretinal interface, including VMT types, concurrent conditions like CME and ERM, should be taken into consideration before surgery.