Kamada Ryoma, Iwase Takeshi
Department of Ophthalmology, Akita University Graduate School of Medicine, Akita, Japan.
Int Med Case Rep J. 2021 Mar 31;14:211-214. doi: 10.2147/IMCRJ.S301252. eCollection 2021.
This study aims to report a case of idiopathic epiretinal membrane (ERM) spontaneously separated from the retinal surface even in eyes with a macular pseudohole, which was immediately followed by resolution of visual deterioration and morphological findings.
A 66-year-old man presented with visual deterioration and metamorphopsia in the right eye. An ERM with a macular pseudohole in the right eye was shown by fundus examinations and optical coherence tomography (OCT) images. We intended to perform vitrectomy to remove the ERM, but within 2 months after the initial visit, the ERM spontaneously separated from the retina. Fundus photograph showed that the ERM and the macular pseudohole were absent and the fundus looked almost normal, and OCT image showed no ERM and an almost normal appearance of the retina without remaining undulations. After the ERM separation, his vision improved to 20/15.
Cases with an ERM-associated macular pseudohole should be carefully monitored for the possibility of a spontaneous separation of the ERM from the retina.
本研究旨在报告一例特发性视网膜前膜（ERM），即使在伴有黄斑假性裂孔的眼中也能自发地与视网膜表面分离，随后视力恶化和形态学表现立即得到缓解。
一名66岁男性因右眼视力恶化和视物变形就诊。眼底检查和光学相干断层扫描（OCT）图像显示右眼有ERM并伴有黄斑假性裂孔。我们打算进行玻璃体切除术以切除ERM，但在初次就诊后的2个月内，ERM自发地与视网膜分离。眼底照片显示ERM和黄斑假性裂孔消失，眼底看起来几乎正常，OCT图像显示没有ERM，视网膜外观几乎正常，没有残留波动。ERM分离后，他的视力提高到了20/15。
对于伴有ERM相关黄斑假性裂孔的病例，应密切监测ERM自发与视网膜分离的可能性。
