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Progressive Centrifugal Retinal Vessel Realignment Documented by Fundus Autofluorescence over Three Years after
Mateus Lins Dos Santos1, Jessica Galvan1, Ricardo Luz Leitão Guerra1
1Leitão Guerra Eye Clinic, Salvador, BA, Brazil.
Purpose:
To report a case of progressive anatomical improvement documented over 3 years after epiretinal membrane (ERM) peeling and to describe how fundus autofluorescence (FAF) imaging contributed to the documentation and evaluation of this long-term recovery.
Methods:
A retrospective case report was conducted.
Results:
This case report describes a 70-year-old male patient with decreased visual acuity due to idiopathic ERM. Preoperative FAF demonstrated vessel displacement, and optical coherence tomography showed Grade 3 tractional changes. The patient underwent pars plana vitrectomy with ERM and internal limiting membrane peeling. Visual acuity improved rapidly, while FAF follow-up over 3 years demonstrated progressive centrifugal repositioning of retinal vessels toward their predisplacement locations.
Conclusions:
This finding illustrates the utility of FAF in documenting long-term anatomical recovery beyond macular thickness normalization. FAF may serve as a valuable complementary tool to monitor retinal remodeling and vessel realignment following membrane peeling, supporting its role in postoperative assessment of ERM surgery outcomes.
