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Rapid Morphological Restoration of Normal Foveal Contour After Spontaneous Epiretinal Membrane Separation from Retina in Eye with Macular Pseudohole: A Case Report

Authors Kamada R, Iwase T

Received 9 January 2021

Accepted for publication 3 March 2021

Published 31 March 2021 Volume 2021:14 Pages 211—214

DOI https://doi.org/10.2147/IMCRJ.S301252

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser


Ryoma Kamada, Takeshi Iwase

Department of Ophthalmology, Akita University Graduate School of Medicine, Akita, Japan

Correspondence: Takeshi Iwase
Department of Ophthalmology, Akita University Graduate School of Medicine, 1-1-1, Hondou, Akita, 010-8536, Japan
Tel +81-18-884-6167
Fax +81-18-836-2621
Email [email protected]

Purpose: 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.
Case Report: 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.
Conclusion: Cases with an ERM-associated macular pseudohole should be carefully monitored for the possibility of a spontaneous separation of the ERM from the retina.

Keywords: epiretinal membrane, macular pseudohole, spectral domain optical coherence tomography, spontaneous separation

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