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SELF-PEELING EPIRETINAL MEMBRANE.

Cem Ozgonul1, Cagri G Besirli

  • 1Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan.

Retinal Cases & Brief Reports
|December 9, 2016
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Summary
This summary is machine-generated.

A case report shows spontaneous resolution of an epiretinal membrane (ERM) and improved retinal capillary hemangioma in a patient with rheumatoid arthritis. This self-peeling ERM resolved without intervention, leading to better vision.

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Area of Science:

  • Ophthalmology
  • Retinal Diseases

Background:

  • Epiretinal membranes (ERMs) can affect vision, and retinal capillary hemangiomas are vascular tumors of the retina.
  • Von Hippel-Lindau disease is a genetic disorder associated with retinal hemangiomas.

Observation:

  • A patient with rheumatoid arthritis presented with an ERM and a peripheral retinal capillary hemangioma in the left eye.
  • The patient was asymptomatic and opted for observation without treatment.
  • Over three years, the ERM spontaneously resolved, and the retinal capillary hemangioma showed improvement.

Findings:

  • The epiretinal membrane underwent spontaneous self-peeling, leading to its resolution.
  • Retinal exudates resolved, and the capillary hemangioma decreased in size.
  • Visual acuity and macular appearance improved following ERM resolution.

Implications:

  • This case highlights the potential for spontaneous resolution of ERMs associated with peripheral retinal capillary hemangiomas.
  • It contributes to understanding the natural history of ERMs in patients without von Hippel-Lindau disease.
  • The findings suggest that observation may be a viable strategy for select cases of ERM and retinal capillary hemangioma.