Oono Yoshihiko, Nakamura Sohei, Yoshimura Koichi, Yamakawa Ryoji, Takayama Tetsuya
Departments of Ophthalmology, Kurume University School of Medicine, Kurume, Japan.
Case Rep Ophthalmol. 2011 Jan;2(1):55-8. doi: 10.1159/000324462. Epub 2011 Feb 5.
We report a case of recurrent epiretinal membrane (ERM) after spontaneous resolution of an idiopathic ERM. A 65-year-old female demonstrated a spontaneous improvement in visual acuity from 0.1 to 1.2 in her left eye attributable to spontaneous resolution of idiopathic ERM due to posterior vitreous detachment. Thereafter, however, her visual acuity again decreased to 0.2 because of the recurrence of ERM. Her visual acuity improved to 0.8 after surgical removal. A microscopic examination of the excised specimen showed a characteristic undulating internal limiting membrane (ILM) and a continuous sheet of cells overlying the inner surface of the ILM. This case report illustrates that although spontaneous ERM resolution is rare, there is a possibility of recurrence even after spontaneous ERM resolution.
我们报告一例特发性视网膜前膜（ERM）自发消退后复发的病例。一名65岁女性左眼视力从0.1自发改善至1.2，这归因于后部玻璃体脱离导致的特发性ERM自发消退。然而，此后由于ERM复发，她的视力再次降至0.2。手术切除后，她的视力提高到了0.8。对切除标本的显微镜检查显示，内部限制膜（ILM）有特征性的起伏，且在ILM内表面覆盖着一层连续的细胞。本病例报告表明，尽管特发性ERM自发消退罕见，但即使在自发消退后仍有可能复发。
