[Spontaneously favorable course of an epiretinal membrane]

A 28-year-old female patient presented a macular epiretinal membrane. Her visual acuity had fallen to 20/80. Five years earlier, she had undergone focal peripheral photocoagulation for retinal degeneration. During the following 5 years, the membrane contracted spontaneously and detached itself. Visual acuity returned to 20/20. Six fluorescein angiographies were performed during this 5-year follow-up. As demonstrated here in this young patient, an epiretinal membrane can evolve favorably, suggesting surgery should be carefully discussed when visual function is not excessively deteriorated.