SYMPTOMATIC DYNAMIC VITREOMACULAR TRACTION INDUCED BY NEAR-VISION.

PURPOSE: To report a case of dynamic vitreomacular traction secondary to near-response vision demonstrated by optical coherence tomography imaging of macular anatomical changes both pre and post induced near-vision.

METHODS

Case report and literature review.

RESULTS

Dynamic vitreomacular traction led to significant foveal anatomical changes on optical coherence tomography after approximately 15 minutes of induced near-vision, which was associated with bilateral central metamorphopsia that self-resolved after approximately 15-30 minutes. The patient eventually experienced improvement of symptoms in one eye after spontaneous vitreomacular detachment, while the other eye still remained symptomatic.

DISCUSSION: The near-vision complex affects movement of the posterior vitreous humor, which may actively contribute to dynamic vitreomacular traction. Therefore, cases of transient central blurring after a self-induced near-response mechanism should be investigated for potential dynamic vitreomacular traction syndrome.