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Spontaneous Separation of Epiretinal Membranes

Spontaneous Separation of Epiretinal Membranes Abstract • Three patients had spontaneous separation of an epiretinal membrane from the macular region. Two of the patients had had argon laser photocoagulation of peripheral retinal lesions three to four months earlier. Vitreous contraction, which had led to the fundus conditions that required photocoagulation, may have created alterations in the vitreous or in the membrane itself, which enhanced the peeling of the membranes. Although photocoagulation may sometimes worsen macular puckers, the presence of an epiretinal membrane near the macula should not be considered an absolute contraindication to peripheral fundus photocoagulation when the pathologic process that is to be coagulated has a substantially worse prognosis if left untreated. References 1. Wise GN: Clinical features of idiopathic preretinal macular fibrosis . Am J Ophthalmol 79:349-357, 1975. 2. Maumenee AE: Further advances in the study of the macula . Arch Ophthalmol 78:151-165, 1967.Crossref 3. Von Gloor B, Werner H: Postkoagulative und spontan auftretende internoretinale fibroplasie mit maculadegeneration . Klin Monatsbl Augenheilkd 151:822-845, 1967. 4. Allen AW, Gass JDM: Contraction of a perifoveal epiretinal membrane simulating a macular hole . Am J Ophthalmol 82:684-691, 1976. 5. Messner KH: Spontaneous separation of preretinal macular fibrosis . Am J Ophthalmol 83:9-11, 1977. 6. Gass JDM: Photocoagulation of macular lesions . Trans Am Acad Ophthalmol Otolaryngol 75:580-608, 1971. 7. Gass JDM: Stereoscopic Atlas of Macular Diseases . St Louis, CV Mosby Co, 1970, p 208. 8. Jaffe NS: Macular retinopathy after separation of vitreoretinal adherence . Arch Ophthalmol 78:585-591, 1967.Crossref 9. Wise GN: Relationship of idiopathic preretinal macular fibrosis to posterior vitreous detachment . Am J Ophthalmol 79:358-362, 1975. 10. Roth AM, Foos RY: Surface wrinkling retinopathy in eyes enucleated at autopsy . Trans Am Acad Ophthalmol Otolaryngol 75:1047-1058, 1971. 11. Bellhorn MB, Friedman AH, Wise GN, et al: Ultrastructure and clinicopathologic correlation of idiopathic preretinal macular fibrosis . Am J Ophthalmol 79:366-373, 1975. 12. Rentsch FJ: The ultrastructure of preretinal macular fibrosis . Albrecht Von Graefes Arch Klin Exp Ophthalmol 203:321-337, 1977.Crossref 13. Machemer R: Pathogenesis and classification of massive periretinal proliferation . Br J Ophthalmol 62:737-747, 1978.Crossref 14. Clarkson JG, Green WR, Massof D: A histopathologic review of 168 cases of preretinal membrane . Am J Ophthalmol 84:1-17, 1977. 15. Tanenbaum HL, Schepens CL, Elzeneiny I, et al: Macular pucker following retinal detachment surgery . Arch Ophthalmol 83:286-293, 1970.Crossref 16. Dellaporta A: Macular pucker and peripheral retinal lesions . Trans Am Ophthalmol Soc 71:329-340, 1973. 17. Cibis PA: Vitreoretinal Pathology and Surgery in Retinal Detachment . St Louis, CV Mosby Co, 1965, p 33. 18. Zweng HC, Little HL: Argon Laser Photocoagulation . St Louis, CV Mosby Co, 1977, pp 299-300. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

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References (20)

Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1980.01020030314015
Publisher site
See Article on Publisher Site

Abstract

Abstract • Three patients had spontaneous separation of an epiretinal membrane from the macular region. Two of the patients had had argon laser photocoagulation of peripheral retinal lesions three to four months earlier. Vitreous contraction, which had led to the fundus conditions that required photocoagulation, may have created alterations in the vitreous or in the membrane itself, which enhanced the peeling of the membranes. Although photocoagulation may sometimes worsen macular puckers, the presence of an epiretinal membrane near the macula should not be considered an absolute contraindication to peripheral fundus photocoagulation when the pathologic process that is to be coagulated has a substantially worse prognosis if left untreated. References 1. Wise GN: Clinical features of idiopathic preretinal macular fibrosis . Am J Ophthalmol 79:349-357, 1975. 2. Maumenee AE: Further advances in the study of the macula . Arch Ophthalmol 78:151-165, 1967.Crossref 3. Von Gloor B, Werner H: Postkoagulative und spontan auftretende internoretinale fibroplasie mit maculadegeneration . Klin Monatsbl Augenheilkd 151:822-845, 1967. 4. Allen AW, Gass JDM: Contraction of a perifoveal epiretinal membrane simulating a macular hole . Am J Ophthalmol 82:684-691, 1976. 5. Messner KH: Spontaneous separation of preretinal macular fibrosis . Am J Ophthalmol 83:9-11, 1977. 6. Gass JDM: Photocoagulation of macular lesions . Trans Am Acad Ophthalmol Otolaryngol 75:580-608, 1971. 7. Gass JDM: Stereoscopic Atlas of Macular Diseases . St Louis, CV Mosby Co, 1970, p 208. 8. Jaffe NS: Macular retinopathy after separation of vitreoretinal adherence . Arch Ophthalmol 78:585-591, 1967.Crossref 9. Wise GN: Relationship of idiopathic preretinal macular fibrosis to posterior vitreous detachment . Am J Ophthalmol 79:358-362, 1975. 10. Roth AM, Foos RY: Surface wrinkling retinopathy in eyes enucleated at autopsy . Trans Am Acad Ophthalmol Otolaryngol 75:1047-1058, 1971. 11. Bellhorn MB, Friedman AH, Wise GN, et al: Ultrastructure and clinicopathologic correlation of idiopathic preretinal macular fibrosis . Am J Ophthalmol 79:366-373, 1975. 12. Rentsch FJ: The ultrastructure of preretinal macular fibrosis . Albrecht Von Graefes Arch Klin Exp Ophthalmol 203:321-337, 1977.Crossref 13. Machemer R: Pathogenesis and classification of massive periretinal proliferation . Br J Ophthalmol 62:737-747, 1978.Crossref 14. Clarkson JG, Green WR, Massof D: A histopathologic review of 168 cases of preretinal membrane . Am J Ophthalmol 84:1-17, 1977. 15. Tanenbaum HL, Schepens CL, Elzeneiny I, et al: Macular pucker following retinal detachment surgery . Arch Ophthalmol 83:286-293, 1970.Crossref 16. Dellaporta A: Macular pucker and peripheral retinal lesions . Trans Am Ophthalmol Soc 71:329-340, 1973. 17. Cibis PA: Vitreoretinal Pathology and Surgery in Retinal Detachment . St Louis, CV Mosby Co, 1965, p 33. 18. Zweng HC, Little HL: Argon Laser Photocoagulation . St Louis, CV Mosby Co, 1977, pp 299-300.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Feb 1, 1980

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