Isolated Central Epiretinal Membrane: A Rare Complication of Fovea-Sparing Internal Limiting Membrane Peeling Technique

Figure 1

Example of the isolated central epiretinal membrane (ERM) development after fovea-sparing internal limiting membrane (ILM) peeling technique in a case with myopic foveoschisis (case 2). (a) A 10-year-old boy had pathologic myopia and macular foveoschisis of the left eye. The best-corrected visual acuity of his left eye was 20/80. He received vitrectomy with fovea-sparing ILM peeling. (b) Postoperatively, the foveoschisis improved. (c) However, 3 months later, an isolated central fovea ERM gradually developed, and optical coherence tomography (OCT) demonstrated severe contraction of the ERM with bulging fovea contour. The central fovea thickness (CFT) was 404 µm, and his visual acuity deteriorated to 20/100. (d) 1 month later, follow-up OCT showed spontaneous peeling of the central ERM with decreased fovea distortion. The CFT improved to 204 µm, and the second revision surgery was therefore postponed.

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