Abstract

A case of 71-year-old lady who came to us with decrease in vision and progressive metamorphopsia in her right eye for 6 months. Her best corrected visual acuity (BCVA) was 6/12(P), N10 and 6/9, N6 in the right and left eye respectively. She gave a history of macular hole surgery in her left eye 6 years back. Right eye showed vitreo-macular traction with cystic spaces. We planned pars plana vitrectomy (PPV), internal limiting membrane (ILM) peeling, and gas injection. Six weeks after the surgery, BCVA in the right eye significantly improved to 6/6(P), N6. The standard treatment for severe VMT is PPV. The goal of vitreous surgery is to eliminate anteroposterior and tangential traction. The risk of iatrogenic macular hole formation is high in inexperienced hands while performing vitrectomy as well as ILM peeling in the case of VMT. Fovea sparing ILM peeling is recommended. Here we describe a technique for successful surgical management of VMT avoiding iatrogenic macular hole formation.