Vitreomacular adhesion digital illustration

Vitreomacular adhesion Save


ICD-10 code: H43.82

Chapter: Diseases of the eye and adnexia

Vitreomacular Adhesion: Causes, Symptoms, and Treatment

Vitreomacular adhesion (VMA) is a condition where the vitreous, a gel-like substance that fills the eye, is abnormally attached to the macula, the central part of the retina responsible for sharp, detailed vision. This can cause several vision problems, including distortions, blurriness, and even vision loss. In this article, we will discuss the causes, symptoms, and treatment options for vitreomacular adhesion.

Causes of Vitreomacular Adhesion

The exact cause of vitreomacular adhesion is not clear, but it is believed to occur naturally as part of the aging process. As the vitreous gel shrinks and becomes more liquefied with age, it can pull on the retina, causing it to detach from the macula. Other factors that may increase the risk of developing VMA include:

  1. Eye trauma or surgery
  2. Diabetes
  3. High myopia (nearsightedness)
  4. Retinal tears or holes
Symptoms of Vitreomacular Adhesion

The symptoms of VMA can vary from person to person, but some common signs include:

  • Blurred or distorted vision
  • A decrease in visual acuity
  • A shadow or curtain effect in the field of vision
  • Difficulty with reading or other close-up tasks

It is important to note that some people with VMA may not experience any symptoms, while others may have more severe vision problems.

Treatment for Vitreomacular Adhesion

If you are experiencing symptoms of VMA, you should consult an ophthalmologist for an eye exam. The doctor may recommend treatment if the VMA is causing significant vision problems or if there is a risk of retinal detachment.

One common treatment for VMA is a vitrectomy, a surgical procedure where the vitreous gel is removed from the eye and replaced with a saline solution. Another option is a pharmacological vitreolysis, where an injection of medication is used to dissolve the adhesion between the vitreous and the macula. This can be an effective treatment for some patients, but it is not suitable for everyone.

Conclusion

Vitreomacular adhesion is a common condition that can cause vision problems ranging from mild to severe. If you are experiencing any symptoms of VMA, it is important to seek medical attention to determine the best treatment options. With proper care and treatment,