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Blink
What Is This Month's Mystery Condition?
Written by Lee Shu Yen, MBBS, adjunct associate professor, Singapore National Eye Centre. Edited by Michael P. Kelly, FOPS.

Photo by Kasi Sandhanam, Singapore National Eye Centre. This image won first place in the Fundus Photography: High Magnification category at the Ophthalmic Photographers’ Society/Academy exhibit in 2011.
 
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November 2012 Blink

Epiretinal Membrane

54-year-old man presented with the complaint of metamorphopsia—specifically, macropsia—in his right eye. Best-corrected visual acuity (BCVA) was 6/18 in the right eye and 6/6 in the left eye. Three years earlier, he had been diagnosed with an epiretinal membrane in the affected eye. He said he had been advised that surgery had a low rate of success, but that he was seeking a second opinion from us, as his symptoms were worsening and interfering with daily function.

The anterior segment examination was normal, but a dilated fundus examination revealed a dense epiretinal membrane causing significant macular distortion. An OCT scan confirmed this finding. The patient underwent a pars plana vitrectomy and membrane peel.

Four days postoperatively, the patient’s vision was reported  as clearer and no longer obscured. The patient’s macula was still slightly swollen, but the epiretinal membrane was no longer evident on fundus examination or OCT scan.

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