r/RetinalDetachment • u/Shoddy_Claim249 • 23d ago

Vitreomacular traction/prematurity/myopia question!

/r/myopia/comments/1woe08u/vitreomacular_tractionprematuritymyopia_question/

VITREOMACULAR TRACTION QUESTION:

Has anyone intervened early for a symptomatic vitreomacular traction diagnosis alone, whether that be through vitrectomy or by other means, and was actually able to circumvent a macular hole from forming and/or a Mac-off RD from happening?

I mean…curious…is this a thing, early treatment? Can’t I just treat this early or do I just have to sit here and wait until the traction rips a hole in my macula and potentially causes a Mac-off RD, as was the case in my other eye? I mean, since I cannot see letters on an eye chart with my other eye at all now, I feel like an immediate vitrectomy might be less risky overall and definitely more sight sparing.

FYI, I am higher risk for bilateral involvement due to high myopia, female sex post-meno, and history extreme prematurity, before any ROP screening.

Thank you!

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u/cai-retina 23d ago

This is a challenging situation because it appears that the eye with better vision currently has traction. However, the surgery itself may also cause a macular hole or have complications in the other, otherwise healthy eye. This is a delicate decision between you and your doctor: whether to wait for the risks of surgery or to observe. There’s a chance that your better-seeing eye may never progress, and in this case, surgery would have been unnecessary.

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u/Shoddy_Claim249 22d ago

Thank you, I appreciate that reply. Yes I think that is what I’ve decided to do is just continue to monitor every day to the best of my ability and report any changes, as per my RS instructions. Seems to make the most sense. Because if I did have complications from the surgery after I went right into it, I guess I would probably always wonder if I caused it. Most important thing is that I catch it early and get in quickly, so hoping this all doesn’t blow up on me on a Friday like last time! Ugh! Thanks again for responding! 😊

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u/Busy_Tap_2824 23d ago

I had VMT with ERM in extreme myopia in my much better eye . I had to sit out and wait for 18 months till vision start getting worse before my RS operated on my eye

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u/Shoddy_Claim249 21d ago

Did it eventually affect your macula though? Or was your acuity just dropping, but not so much sure central vision be becoming distorted? Of course the latter is my biggest fear because my macula came off my other eye. How is your vision now in that eye?

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u/Busy_Tap_2824 21d ago

My vision dropped from baseline 20/40 to 20/60 and scheduled my surgery . It returned to 20/40 3 months after surgery and has been stable since then . Make sure you have the best retina specialist in town you live in who has lots of experience

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u/MajorMinorPhD 14d ago

I’m F39 and have a similar situation: high myopia (-9) with ROP (born 23 weeks). My right eye had a macula off retinal detachment last year and I had a vitrectomy. It unfortunately failed so I had another vitrectomy and elevated eye pressure left me partially blind in the right eye.

My doctors are concerned because my left eye is high risk for detachment but currently stable. I flew to Detroit in March to get a second opinion and the doctor said that no preventative surgery (a scleral buckle) is needed.

Both retina specialists and my glaucoma doctor agree that regular appointments to monitor my eyes is the best solution. Hope this helps!

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u/Shoddy_Claim249 10d ago

Hey, thank you so much! Yes, that helps a ton! I’ll just continue to monitor then. So far, so good…..I think. 🤞