Complete Resolution of Vitreomacular Traction Syndrome Following External Globe Manipulation
A healthy 63-year-old female presented with a central scintillating scotoma and decreased visual acuity in both eyes. On examination, both eyes revealed blunted foveal reflexes. Corrected visual acuity was 20/30 in the right eye and 20/30 in the left eye. Optical coherence tomography demonstrated vitreomacular traction (VMT) in both eyes (Figure 1A and B). Under the guidance of a vitreoretinal specialist, the patient practiced an external, slow eye press-and-release maneuver 4 times per day in both eyes for 30 days. The patient had close follow-up given her visually demanding profession. One month later, the VMT had released, and the foveal contour markedly improved in both eyes (Figure 2A and B). Corrected visual acuity remained 20/30 in the right eye and improved to 20/20 in the left eye.

Figure 1

Figure 2