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Spontaneous separation of epiretinal membranes
Archives of Ophthalmology (Chicago, Ill. : 1960)
|February 1, 1980
Summary
Spontaneous separation of epiretinal membranes occurred in three patients after peripheral laser treatment. Vitreous changes may have facilitated this membrane peeling, suggesting careful consideration for photocoagulation in specific cases.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Epiretinal membranes can affect visual acuity.
- Peripheral retinal lesions may necessitate laser photocoagulation.
Observation:
- Three patients experienced spontaneous epiretinal membrane separation from the macula.
- Two patients had undergone argon laser photocoagulation 3-4 months prior for peripheral retinal lesions.
Findings:
- Vitreous contraction may have altered the vitreous or membrane, promoting spontaneous peeling.
- Peripheral laser photocoagulation was not an absolute contraindication despite potential macular pucker risks.
Implications:
- Peripheral fundus photocoagulation can be considered even with nearby epiretinal membranes if untreated pathology has a worse prognosis.
- This suggests a nuanced approach to treating peripheral retinal conditions in patients with potential macular involvement.