Abstract Idiopathic epiretinal membrane or preretinal macular fibrosis is a common entity in patients older than age 50 years. Although not common, idiopathic epiretinal membranes are also found in children and adolescents. We report a case of spontaneous peeling of an idiopathic epiretinal membrane in a child. Report of a Case. —An 8-year-old boy presented with blurred vision in the right eye. On initial examination the best corrected visual acuity was 20/60 OD and 20/20 OS. There was no ocular history of inflammation, infection, trauma, or surgery. Fundus examination revealed a dense epiretinal membrane centered over the macular region, causing significant macular pucker (Fig 1). There was no evidence of a posterior vitreous detachment (PVD). The left eye was normal. A diagnosis of idiopathic epiretinal membrane was made and the patient was treated conservatively.On follow-up examination 3 months later, visual acuity had improved to 20/20 OD. Fundus examination revealed References 1. Barr CC, Michels RG. Idiopathic nonvascularized epiretinal membranes in young patients: report of six cases . Ann Ophthalmol . 1982;14:335-341. 2. Kimmel AS, Weingeist TA, Blodi CF, Wells KK. Idiopathic premacular gliosis in children and adolescents . Am J Ophthalmol . 1989;108:578-581. 3. Laatikainen L, Punnonen E. 'Idiopathic' preretinal macular fibrosis in young individuals . Int Ophthalmol . 1987;10:11-14.
Archives of Ophthalmology – American Medical Association
Published: Oct 1, 1992
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