By Lee Shu Yen, MBBS, adjunct associate professor, Singapore National Eye Centre, and edited by Michael P. Kelly, FOPS
Photographed by Kasi Sandhanam, Singapore National Eye Centre
A 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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