Pigmented preretinal membranes.

Continuous growth and an increase in pigmentation of a preretinal membrane occurred in a 46-year-old woman after a scleral buckling procedure for rhegmatogenous retinal detachment. Ten additional patients had pigmented preretinal membranes in eyes treated for rhegmatogenous retinal detachment. Although we made no attempts to determine the incidence of pigmented preretinal membrane formation in eyes with retinal detachments, these 11 cases, in a consecutive series of 500 eyes treated for rhegmatogenous retinal detachment, indicated that the development of pigmented preretinal membranes is not uncommon. Our clinical observations supported recent experimental findings implicating retinal pigment epithelial cells as a cause of preretinal membrane formation.