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Ophthalmic Images
May 19, 2021

An Unusual, Idiopathic Scrolled Epiretinal Membrane

Author Affiliations
  • 1Central Michigan University College of Medicine, Saginaw
  • 2Associated Retinal Consultants PC, Royal Oak, Michigan
  • 3Envision Eye Care, Saginaw, Michigan
JAMA Ophthalmol. 2021;139(5):e211146. doi:10.1001/jamaophthalmol.2021.1146

A 26-year-old woman with no previous ocular history presented for an initial contact lens evaluation. She had no visual complaints, including metamorphopsia. She denied prior history of ocular trauma, head trauma, ocular procedures, or inflammation, and she had no family history of ocular disease. The patient was found to have −2.25 myopia bilaterally, correctable to 20/20 OU. A fundus examination revealed a superiorly oriented, partially scrolled epiretinal membrane in the left eye (Figure, A). Optical coherence tomography redemonstrated the scrolled epiretinal membrane overlying the fovea (Figure, B). There was no disruption of the foveal contour, retinal layers, or underlying retinal pigment epithelium. Additionally, there was no evidence of an internal limiting membrane tear or a posterior vitreous detachment in the left eye. Her right eye showed no abnormalities. She was diagnosed with an idiopathic epiretinal membrane. The decision was made to observe the membrane, given her excellent visual acuity and lack of visual complaints.

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