Vitreomacular disorders: a review of the classification, pathogenesis and treatment paradigms including new surgical techniques

Clin Exp Optom. 2021 Aug;104(6):672-683. doi: 10.1080/08164622.2021.1896946. Epub 2021 Apr 25.

Abstract

This review explores how optical coherence tomography has guided our assessment of vitreomacular disorders. Vitreomacular disorders (VMD), such as macular holes and epiretinal membranes are common and potentially sight threatening. The introduction and widespread use of optical coherence tomography (OCT) imaging technology has transformed our ability to visualise the vitreoretinal interface. This review discusses the pathogenesis and updated classification scheme for VMD in the OCT era. Imaging biomarkers and the treatment algorithm, including the role of novel therapeutics, for managing patients with VMD are presented.

Keywords: Vitreomacular disorders; epiretinal membrane; lamellar hole; macular hole; posterior vitreous detachment; vitreomacular interface; vitreomacular traction.

Publication types

  • Review

MeSH terms

  • Epiretinal Membrane*
  • Humans
  • Retinal Perforations*
  • Tomography, Optical Coherence
  • Vitreous Body