- Retinal lesion that simulates macular hole without actual tissue
loss.
- Clinical features:
- Altered light reflex and darker appearance
of the fovea
- Steepening of the normal foveal depression
- Most commonly seen in association with epiretinal membrane
contraction, vitreomacular traction syndromes, proliferative diabetic
retinopathy, rhegmatogenous retinal detachment, intraocular inflammation,
trauma and venous occlusive disease
- Optical coherent tomography (OCT) demonstrates:
- Steepening of foveal contour
- Full thickness retinal tissue is present
- Reflective epiretinal membrane layer is present on the surface
of the retina
- Fluorescein angiography often reveals normal fluorescence except
if traction-induced retinal vascular disruption present.
- Management:
- Treatment of the underlying causes of epiretinal membrane.
- Observation of progressive contraction, which may lead to macular
edema.
- Surgical vitrectomy to peel the epiretinal membrane may be
indicated in patients with worsening vision of 20/80 or less.
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