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