A patient with vitreomacular traction syndrome undergoes spectral-domain OCT. Which of the following findings is MOST characteristic?

• A Complete posterior vitreous detachment with persistent foveal attachment
• B Epiretinal membrane with pseudohole formation
• C Full-thickness macular hole with operculum
• D Incomplete posterior vitreous detachment with persistent foveal attachment causing anterior-posterior traction ✓

Explanation

Vitreomacular traction is characterized by incomplete PVD with persistent attachment of the vitreous to the macula, causing anterior-posterior traction. This differs from a complete PVD (option A) which would relieve traction, and from a full-thickness hole (option C) which is a potential progression. The V-shaped vitreous insertion pulling on the macula is the hallmark.

Reference: Ryan's Retina, 6th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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