Inamura Eriko, Takeda Yusuke, Yamashita Hidetoshi, Sugimoto Masahiko
Department of Ophthalmology and Visual Sciences, Yamagata University Faculty of Medicine, Yamagata, Japan.
Yamagata City Institute of Public Health, Yamagata, Japan.
Am J Ophthalmol Case Rep. 2025 Sep 1;40:102427. doi: 10.1016/j.ajoc.2025.102427. eCollection 2025 Dec.
To report a case with a spontaneous separation of a secondary epiretinal membrane (ERM) associated with a retinal hemangioblastoma, and its long-term follow-up after laser photocoagulation (PC) for the hemangioblastoma.
A 38-year-old man presented with a one-month history of decreased vision in his left eye (20/32) and was diagnosed with an ERM secondary to a retinal hemangioblastoma. Although PC was initially planned, he requested that the treatment be postponed. One month later, our examination showed a spontaneous separation of the ERM with a posterior vitreous detachment. His visual acuity improved from 20/32 to 20/20. PC was performed on the feeding vessels and hemangioblastoma later. We have followed this patient for 12 years, and his visual acuity is currently 20/16 without other complications or a recurrence of the ERM.
A spontaneous separation of a secondary ERM can occur before any treatment with a rapid functional and anatomical recovery. Our findings indicate that clinicians need to assess the treatment options for secondly ERMs associated with a hemangioblastoma.
报告一例与视网膜血管瘤相关的继发性视网膜前膜（ERM）自发分离的病例，以及对该血管瘤进行激光光凝（PC）治疗后的长期随访情况。
一名38岁男性，左眼视力下降1个月（20/32），被诊断为继发于视网膜血管瘤的ERM。尽管最初计划进行PC治疗，但他要求推迟治疗。1个月后，我们的检查显示ERM自发分离并伴有玻璃体后脱离。他的视力从20/32提高到了20/20。随后对供血血管和血管瘤进行了PC治疗。我们对该患者进行了12年的随访，目前他的视力为20/16，无其他并发症，ERM也未复发。
继发性ERM可在任何治疗前发生自发分离，并伴有快速的功能和解剖学恢复。我们的研究结果表明，临床医生需要评估与血管瘤相关的继发性ERM的治疗选择。
