Dr.Sarang Lambat, Dr.Nangia Vinay Kumar B, Dr.Priyanka Pardhi, Dr.Tina Agrawal
Vitreo-macular traction (VMT) is characterised by incomplete separation of the posterior vitreous with persistent macular attachment. It can lead to traction on the retina, causing a variety of macular abnormalities causing significant visual disability or imminent threat of permanent damage to fovea. Though there is a good chance of spontaneous release of traction, surgery is recommended if it the traction increases. We present a case of VMT causing significant foveal tenting with visual acuity of 6/36 who was taken up for surgery. After doing a core vitrectomy the PVD induction was avoided to prevent risk of macular hole formation. A 27 Ga cutter could be engaged through the tented traction cutting its attachments leaving the foveal stump. We did a dual staining technique with triamcinolone and brilliant blue G to identify the ILM as well as the stump. This technique helped us safely tackle the case with excellent anatomical and visual results with patient improving to 6/9.