Spontaneous Resolution of Vitreomacular Traction in a Patient with a Macular Hole in the Fellow Eye

Vitreomacular traction (VMT) is a multicategory entity that may cause substantial visual loss due to the formation of a macular hole or traction-induced tissue distortion. We report a remarkable case of spontaneous resolution of VMT in a 76-year-old caucasian female who presented a reduction visual acuity in one eye and a macular hole stage IV with margins edema in the other eye. The patient denied any treatment and was followed over time with optical coherence tomography (OCT) which showed the evolution of the vitreomacular adhesion and then the subsequent spontaneous detachment with a complete visual acuity recovery. Therefore the therapeutic decision must be guided from the evaluation of the visual acuity, fundus appearance and OCT performed over time. This case report demonstrates how the same macular traction has led to two different outcomes in the two eyes at different times and ways; not always the course of an eye is the same in the other eye.