Sandali O, Basli E, Borderie V, Laroche L, Monin C
Centre Hospitalier National d'Ophtalmologie des XV-XX, 28, rue de Charenton, 75571 Paris, France.
J Fr Ophtalmol. 2012 Jan;35(1):48.e1-5. doi: 10.1016/j.jfo.2011.02.011. Epub 2011 Jun 29.
The vasocentric epiretinal membranes (ERM) are idiopathic ERM centered on retinal blood vessels, described mainly in young patients. We report a case of a 70-year-old patient who presented with a decrease in visual acuity secondary to a vasocentric epiretinal membrane. A successful vitrectomy and ERM removal were performed. Four years after surgery, a contractile ERM centered on the superior temporal blood vessel occurred and was associated with retinal distortions at the posterior pole. The second surgery combined removal of the recurrent ERM, which was adherent to the temporal vessels, and peeling of the internal limiting membrane in the macular area. Although there was visual recovery, the patient is still suffering from metamorphopsia 2 years after surgery. The vasocentric ERM have a poor visual outcome and a high risk of recurrence in comparison with other ERM disorders. This case report describes the main clinical and surgical characteristics of this type of membrane.
血管中心性视网膜前膜（ERM）是一种以视网膜血管为中心的特发性ERM，主要见于年轻患者。我们报告一例70岁患者，因血管中心性视网膜前膜导致视力下降。成功进行了玻璃体切除术并切除了ERM。术后四年，出现了以颞上血管为中心的收缩性ERM，并伴有后极部视网膜变形。第二次手术联合切除了与颞侧血管粘连的复发性ERM，并剥除了黄斑区的内界膜。尽管视力有所恢复，但患者术后2年仍患有视物变形症。与其他ERM疾病相比，血管中心性ERM的视力预后较差且复发风险较高。本病例报告描述了这种类型膜的主要临床和手术特征。
