Upcoming Events

Event Location: Prema Clinic, PO6 4RP

Event Date: 19.03.26

Vitreomacular interface (VMI) disorders represent a common and clinically significant group of retinal conditions that can lead to progressive visual distortion and central vision loss. Advances in optical coherence tomography (OCT) have transformed how these entities are identified, classified, and managed, enabling earlier diagnosis and more tailored treatment decisions.

This CPD lecture will provide a structured overview of the pathophysiology, clinical presentation, imaging features, and evidence-based management of key vitreomacular interface disorders, including vitreomacular traction syndrome, idiopathic macular holes, epiretinal membranes, and myopic foveomacular retinoschisis. Emphasis will be placed on OCT interpretation, differentiating mimicking pathologies, and understanding when observation is appropriate versus when surgical intervention is indicated.

The session will integrate practical clinical examples to support real-world decision-making and highlight current best practice in diagnosis and referral pathways.

By the end of this lecture, participants will be able to:

1. Explain the underlying pathophysiology of common vitreomacular interface disorders and how vitreous traction contributes to macular structural change.
2. Recognise key clinical symptoms and signs associated with vitreomacular traction, macular holes, epiretinal membranes, and myopic foveomacular retinoschisis.
3. Interpret OCT imaging features to differentiate between major VMI disorders and identify prognostic indicators.
4. Describe current management approaches, including observation strategies, referral thresholds, and the role of surgical intervention (e.g., pars plana vitrectomy, ILM peeling, gas tamponade).
5. Apply evidence-based decision-making to determine which patients require monitoring, urgent referral, or treatment, and communicate likely outcomes effectively to patients.