Vitreomacular Adhesion- Risk Factor for Wet ARMD

April 25, 2009

I read a fascinating article in AJO yesterday that showed nicely how unilateral wet ARMD is often associated with vitreomacular traction syndrome (VMT), demonstrated with OCT. Seems reasonable that those at high risk might get intravit injection of vitreolysis agent to precipitate PVD to reduce the risk. Interestingly, it’s well known that those with PVD are protected from NVD secondary to DM. Retina- that’s where the action is!




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One Response to “Vitreomacular Adhesion- Risk Factor for Wet ARMD”

  • In response, I have two comments. First, not only is a PVD (posterior vitreous detachment) protective against NVD (neovascularization of the disc), but many have observed that one rarely has a patient with both ARMD and diabetic retinopathy. Perhaps related to the vitreomacular interface.

    Second, there would not be a vitreoretinal specialty if it weren’t for the vitreous (just something to think about). What is the function of the mature vitreous after development?

    Glad there is a vitreous.

    Randall V. Wong, M.D.
    Retina and Vitreous Specialist