Spontaneous resolution of cataract-related acute vitreomacular traction syndrome

Purpose: To report a case of spontaneous resolution of vitreomacular traction (VMT) syndrome after cataract surgery. Case summary: A 70-year-old woman underwent lens emulsification and intraocular lens implantation for a right-eye cataract. Preoperative optical coherence tomography (OCT) showed vitreomacular adhesion (VMA). At that time, the decimal visual acuity of the right eye was 0.63 and the best-corrected visual acuity (BCVA) was 0.8. At one day after cataract surgery, OCT showed VMT, with disruption of the ellipsoid zone and outer limiting membrane. The BCVA of the right eye was 0.32, which was worse than before surgery. At two weeks after cataract surgery, OCT revealed spontaneous resolution of the VMT, whereas the VMA persisted. At four months after cataract surgery, the BCVA of the right eye was 0.8. Conclusions: In cases of VMT after cataract surgery, there is a possibility of spontaneous resolution without VMA separation. Therefore, careful observation in the early stages should be considered before surgical treatment.