Incomplete posterior vitreous detachment may lead to anterior posterior and tangential traction to the macula. At the location of the attachment, a cystoid retinal degeneration develops. The causative therapy in such cases is a pars plana vitrectomy (ppV) to release the vitreomacular traction. Only a few cases of spontaneous resolution of traction macular edema are described in the literature. Long-standing macular edema may damage the photoreceptors; therefore, ppV should be planned because only about 10% of cases of vitreomacular traction syndrome resolve spontaneously.