Case 4-4, Epiretinal Membrane with Schisis and Macular Pseudohole

Clinical Summary

A 66-year-old woman was evaluated for an epiretinal membrane in her right eye. On examination, her visual acuity in this eye was 20/60 and slit-lamp ophthalmoscopy (A) revealed a deep pseudohole in the central macula. Fluorescein angiography (13) showed increased tortuousity of the retinal vasculature temporally, and straightening of the vessels nasal to the optic disc, Very mild late leakage was noted surrounding the macula.

Optical Coherence Tomography

An OCT image through fixation (C) showed significant retinal thickening due to the development of a schisis cavity within the retina. The epiretinal membrane was visible directly in the fovea (arrows) where it was separated from the contour of the fo veal depression. The membrane was also distinguishable from the neurosensory retina temporally in the image where it had higher reflectivity than the underlying retina.

Epiretinal Macular Membranes

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