Symptomatic VMA is becoming increasingly recognized as a sight-threatening disease related to aging.4 It is a progressive disease that can lead to serious outcomes such as macular hole and vision loss.5-7 It may also impair your patients’ ability to perform routine tasks.3,8,9
VMA occurs when the vitreous cannot completely separate from the macula as part of the normal aging process. VMA can lead to symptomatic VMA if the adhesion is strong enough to cause pulling on the macula.
This pulling is known as vitreomacular traction (VMT).4 It can harm the macular structure and lead to loss in visual acuity (VA).
The most common and recognizable symptom of symptomatic VMA is metamorphopsia, or distorted vision. Patients may see wavy lines.3,8,9
Metamorphopsia is an anomaly of visual perception in which objects appear distorted in shape, size, or location. It results from disease of the retina or imperfection of the media.10
Other symptoms of
symptomatic VMA include3,8,9:
The images below provide an idea of what patients may be seeing in their
everyday lives if they have symptomatic VMA.
Objects may not appear as
clear, and small details may
be difficult to distinguish.
Given that symptomatic VMA is a sight-threatening disease, if your patients report any symptoms that could suggest symptomatic VMA, there are simple diagnostic tools you can use.LEARN ABOUT DIAGNOSING SYMPTOMATIC VMA
Waiting to treat symptomatic VMA may increase the risk that additional treatment may be less successful.5,7,11
You have a key role in diagnosing symptomatic VMA before the condition progresses and causes potentially sight-threatening events. If patients complain of any symptoms you suspect are related to symptomatic VMA, it may be helpful to use these tools to aid early diagnosis.12
The Amsler grid is a simple vision test that helps detect visual disturbances caused by changes in the retina, the macula, and the optic nerve.12 Instruct your patients to follow the instructions included on the grid.DOWNLOAD THE AMSLER GRID
OCT is a noninvasive technique that uses light waves to visualize beyond the eye surface, allowing you to detect any disturbances in the eye.12 These images illustrate normal and abnormal OCT scans that you may see.
This OCT is from a patient who has undergone complete posterior vitreous detachment with no vitreous adhesion remaining on the macula.
If the Amsler grid or OCT scan suggests that your patients have symptomatic VMA, take appropriate treatment action. Several treatment options are available that may help relieve your patients’ symptoms.FIND OUT ABOUT SYMPTOMATIC VMA TREATMENT OPTIONS