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October 1992

Spontaneous Peeling of an Idiopathic Epiretinal Membrane in a Young Patient

Author Affiliations

Maywood, Ill

Arch Ophthalmol. 1992;110(10):1367-1368. doi:10.1001/archopht.1992.01080220029009

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

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