|Year : 2023 | Volume
| Issue : 2 | Page : 639
Bridge over troubled water
Priyanka Raj, Shobhit Chawla, Komal Agarwal
Prakash Netra Kendr Private Limited, Lucknow, Uttar Pradesh, India
|Date of Web Publication||28-Apr-2023|
Prakash Netra Kendr Private Limited, Vipul Khand, Gomti Nagar, Lucknow - 226 010, Uttar Pradesh
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Raj P, Chawla S, Agarwal K. Bridge over troubled water. Indian J Ophthalmol Case Rep 2023;3:639
A 67-year-old female patient presented with decreased vision in left eye since 1 month. Best corrected visual acuity was 6/18 in the left eye on Snellen's chart. Fundus examination in the left eye showed blurred disk margin with vitreous traction around the disk and the fovea causing vitreopapillary traction and vitreomacular traction (VMT) [Figure 1]a. Optical coherence tomography showed posterior hyaloid attachment over the disk and the fovea causing intraretinal schisis. The detached hyaloid formed a bridge between the disk and foveal attachments [Figure 1]b. It is important to identify vitreopapillary traction as it can cause optic neuropathy, an additional cause of visual impairment, apart from VMT.
|Figure 1: (a) Color fundus photograph of the left eye showing blurred disc margin with peripapillary traction and striations over fovea and surrounding intraretinal fluid. (b) Optical coherence tomography of the left eye confirming vitreo-papillary traction and vitreomacular traction causing intra-retinal schisis|
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| References|| |
Gabriel RS, Boisvert CJ, Mehta MC. Review of vitreopapillary traction syndrome. Neuroophthalmology 2020;44:213-8.