Kanai Masanori, Sakimoto Susumu, Nishida Kohji
Department of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
Department of Ocular Immunology and Regenerative Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Am J Ophthalmol Case Rep. 2024 Feb 9;34:102017. doi: 10.1016/j.ajoc.2024.102017. eCollection 2024 Jun.
While secondary epiretinal membranes (ERMs) are well-documented postoperative complications following rhegmatogenous retinal detachment (RRD) surgery, literature addressing the mechanisms of spontaneous resolution, particularly in cases involving vitrectomy, remain limited. In this case report, we describe the spontaneous resolution of secondary ERM in an amateur boxer following traumatic RRD surgery.
Pars plana vitrectomy was performed for traumatic RRD in a 20-year-old man. Secondary ERM formation was observed one month after RRD surgery, resulting in retinal distortion. The ERM began to peel spontaneously and disappeared one year after surgery. His visual function did not deteriorate in the meantime.
Spontaneous ERM separation is possible even after vitrectomy. This is the first published observation of the formation and spontaneous disappearance of secondary ERM after vitrectomy without intervention.
虽然继发性视网膜前膜（ERM）是孔源性视网膜脱离（RRD）手术后有充分文献记载的术后并发症，但关于自发消退机制的文献，尤其是涉及玻璃体切除术的病例，仍然有限。在本病例报告中，我们描述了一名业余拳击手在创伤性RRD手术后继发性ERM的自发消退情况。
对一名20岁男性进行了经平坦部玻璃体切除术治疗创伤性RRD。RRD手术后1个月观察到继发性ERM形成，导致视网膜变形。ERM在手术后1年开始自发剥脱并消失。在此期间，他的视觉功能没有恶化。
即使在玻璃体切除术后，ERM也可能自发分离。这是首次发表的关于玻璃体切除术后继发性ERM形成和自发消失且未进行干预的观察结果。
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