| Reproliferation of Idiopathic Epiretinal Membrane after Spontaneous Separation. |
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Jeong Min Kwon, Jong Heon Lee, Kyong Ho Kim, Sung Who Park, Ji Eun Lee, Ik Soo Byon |
1Department of Ophthalmology, Pusan National University Yangsan Hospital, Yangsan, Korea. isbyon@naver.com
2Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.
3Department of Ophthalmology, Pusan National University School of Medicine, Yangsan, Korea.
4Department of Ophthalmology, Pusan National University Hospital, Busan, Korea. |
| 자연분리 후 재발된 특발성 망막앞막 |
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권정민1,2⋅이종헌1,2⋅김경호1,2⋅박성후3,4⋅이지은3,4⋅변익수1,2,3 |
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양산부산대학교병원 안과학교실1, 양산부산대학교병원 의생명융합연구소2, 부산대학교 의학전문대학원 안과학교실3, 부산대학교병원 안과학교실4 |
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Correspondence:
Ik Soo Byon |
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Received: 10 July 2015 • Revised: 20 December 2015 • Accepted: 1 February 2016 |
| Abstract |
PURPOSE
To report the reproliferation of membrane after a spontaneous separation in a patient with idiopathic epiretinal membrane (ERM). CASE SUMMARY: A 62-year-old woman complained of metamorphopsia in the left eye. Her vision without correction was 0.8. On fundus examination, the epiretinal membrane was covering the fovea with posterior vitreous detachment. Optical coherence tomography (OCT) showed the ERM and thickened macula. Retinal break, intraocular inflammatory disease, and retinal vascular disease were not noted. We diagnosed her with idiopathic ERM and followed up regularly. At month 7, a partial separation of the membrane from the retinal surface was noted. At month 12, complete spontaneous separation of the ERM from the macula except that in the temporal area was accompanied by improvement of vision to 1.0. OCT, showing recovery of the fovea contour. However, her corrected vision decreased to 0.7 at month 17, and the ERM was again observed to cover the macula. Thickening of the ERM progressed further, and her corrected vision decreased to 0.5 at month 21. CONCLUSIONS: Spontaneous separation of membrane is a rare phenomenon in idiopathic ERM. Reproliferation of membrane can develop and induce visual impairment. Therefore, regular examination is recommended in patients with spontaneous separation of membrane. |
| Key Words:
Idiopathic epiretinal membrane;Metamorphopsia |
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