This 62YO male presented with 20/200 vision in his left eye. An epiretinal membrane (ERM) was noted in the temporal macula, associated with more nasal horizontal retinal striae.
Optos fluorescein angiography shows distortion of the temporal macular vessels with late leakage.
Vitrectomy with membrane peeling was performed the following day, and one week later, on 3/1/21, vision improved to 20/70 with a significant decrease in macular thickening.
When last examined on 6/7/21, about 3 months post-op, vision was still 20/70, but the macular thickening and contour were almost normal except for a small blister of foveal subretinal fluid.
Learning Points:
OCT scanning confirmed the temporal ERM, but the severe cystic macular thickening with possible tractional schisis that extended into the nasal macula seemed disproportionate to the imaged temporal ERM. Fortunately, both the vision and macular thickening significantly improved following vitrectomy with membrane peeling.
