A 66-year-old pseudophakic female presented with worsening blurry vision and metamorphopsia, right eye more than left eye. She also complained of monocular diplopia in the right eye. She denied pain or irritation.
Her visual acuity was 20/60 in the right eye and 20/50-2 in the left eye, with no improvement with pinholes in either eye.
An epiretinal membrane (ERM) is a semi-translucent, avascular, fibrocellular membrane on the inner retinal surface along the internal limiting membrane of the retina.
ERMs may be idiopathic, or secondary to a variety of conditions such as retinal vascular occlusions, uveitis, trauma, intraocular surgery, and retinal breaks.
Contracture of ERMs produces distortion and wrinkling of the inner surface of the retina. It is also called “cellophane maculopathy” or “pre-retinal macular fibrosis” when mild; “surface wrinkling retinopathy” or “retinal striae” when moderate; or “macular pucker” when severe.
University of Iowa
Roy J. and Lucille A. Carver College of Medicine
Department of Ophthalmology and Visual Sciences
200 Hawkins Drive
Iowa City, IA 52242
University of Iowa
Roy J. and Lucille A. Carver College of Medicine
Department of Ophthalmology and Visual Sciences
200 Hawkins Drive
Iowa City, IA 52242