The vitreous is the gel that fills the back of the eye and is in contact with the retinal surface. In some patients it is very sticky and lifts the retina like a tent causing visual distortion. This disease is called Vitreomacular Traction Syndrome. This can progress and cause a macular pucker or a macular hole requiring surgery to restore vision. The Amsler grid can help show the degree of distortion and non-invasive OCT imaging can demonstrate stability or progression. Treatments very from observation, in office procedures: gas or drug, and outpatient surgery.