Symptomatic dynamic vitreomacular traction during accommodation and head-down posture preceding definitive vitreomacular traction syndrome.

Purpose: To report a case of progressive vitreomacular traction, definitive optical coherence tomography evidence of established vitreomacular traction, and subsequent spontaneous resolution with posterior vitreous detachment occurrence.

Methods: Case report and literature review. This study involved a patient presenting to the Retina Clinic at Stoke Mandeville Hospital.

Results: Symptomatic improvement after posterior vitreous detachment.

Conclusion: Dynamic vitreomacular traction should be suspected in cases of fluctuating central visual disturbance, particularly when associated with accommodation and downward head posture. The authors discuss the possible influence of accommodation and head position.