Vitreoretinal Tuft

What is a Vitreoretinal Tuft?

A vitreoretinal tuft is a small, elevated area of the retina where there is an abnormal adhesion or firm attachment of the vitreous (the clear gel that fills the inside of the eye) to the retinal surface. 

These tufts are composed of glial cells (supportive or structural tissue) and retinal tissue and are usually congenital, meaning they are present from birth. They are often found in the peripheral retina and can be associated with areas of retinal thinning or degeneration.

While vitreoretinal tufts are generally benign, they can sometimes lead to complications. For example, they may create areas of weakness in the retina that can predispose individuals to retinal tears or detachments, especially if the vitreous gel exerts traction on these tufts. Regular monitoring by a retina specialist is recommended to ensure that any potential issues are identified early and managed promptly.

How is a Vitreoretinal Tuft diagnosed?

Vitreoretinal tufts appear chalky white (unlike a translucent retinal tear) and can create traction on the retina, pulling it away from the back of the eye.  If the traction is strong enough, it can lead to a hole or tear at the base of the lesion or to a retinal detachment.  

Vitreoretinal tufts are usually found incidentally during a routine dilated eye exam or an eye exam peformed for another reason.   They are typically asymptomatic and most patients do not have any symptoms.  They can also be identified and the findings documented with ultra-widefield retinal photography.

What is the treatment for a Vitreoretinal Tuft?

Vitreoretinal tufts are common and can be found in up to 5 percent of patients.  They are sometimes bilateral (20%).  In patients with retina detachments, VR tufts are found in up to 10% of cases.  However, the risk of retinal detachment in a patient with a vitreoretinal tuft is low <1-3% depending on its characteristics.  Prophylactic or preventative treatment is not typically recommended unless the tuft is complicated by a defect or break in the retina or a retinal detachment.  It is recommended that patients with any vitreoretinal tuft be monitored carefully for complications, which if detected and treated early, can prevent vision loss from a retinal detachment.

At Main Line Retina, we have advanced imaging that allows us to evaluate and monitor your vitreoretinal tuft and minimally invasive therapy to treat complications before they affect your vision.

If you have any signs or symptoms of a vitreoretinal tuft, contact us today to schedule an exam at Main Line Retina.  Our retina specialist, Dr. Brader, will work with you to protect your vision and minimize your complications.