Skip to main content

Cellophane maculopathy

Caused by an epiretinal membrane, clinically, it appears as a sheen abnormal foveal reflex which features epiretinal membrane, due to inflammatory mediators and proliferation of glial cells secondary to a partial separation of posterior cortical vitreous.

Fundus image shows cellophane maculopathy
Fundus image shows cellophane maculopathy


OCT features a hyperreflective band covering the inner retinal layers, causing minimal disturbance of inner retinal tissues.

OCT cross-section shows epiretinal membrane
OCT cross-section shows epiretinal membrane 


Cellophane maculopathy itself in individuals with good visual acuity may not need any interventions, but it is warranted to do a detailed peripheral retinal exam to rule out retinal tear or hole

However, an epiretinal membrane may proliferate further and cause additional tangential traction. Thus, it may induce macular pucker or lamellar/pseudo hole and increase disturbance of inner retinal tissues, macular thickness, and reduction of vision.

These patients may require pars plana vitrectomy to remove the epiretinal membrane and some cases, ILM peeling.

Drop a comment below on how would you approach a case of cellophane maculopathy in your clinical practice ??


Please check Clinical guidelines for epiretinal membrane and vitreomacular traction

Labels:

Comments

  1. vision associatesFebruary 12, 2021 at 8:48 PM

    It is truly well-researched content and excellent wording. I got so engaged in this material that I couldn’t wait to read. I am impressed with your work and skill.pediatric optometrist toledo

    ReplyDelete
    Replies
    1. Ameen MarashiFebruary 12, 2021 at 9:07 PM

      Thank you for your lovely words
      Please visit the Retinal Assistant Module website for clinical-guidelines and courses
      https://www.amretina.com

      Delete
  2. 90-Day MedsFebruary 17, 2021 at 2:46 AM

    Great information, this information is necessary and essential for everyone. I am thankful to you for providing this kind of good information. https://www.90daymeds.com/

    ReplyDelete
  3. vision associatesMarch 4, 2021 at 12:18 AM

    I am truly impressed by the details which you have provided regarding..... It is an interesting article for me as well as for others. Thanks for sharing such articles here. cataract surgery bowling green

    ReplyDelete
  4. LensVillageJune 20, 2021 at 9:37 PM

    I read all the information you have mentioned in your blog that is really commendable. I really like your post, please share more information with us. korean contact lenses

    ReplyDelete
  5. imlanguagesSeptember 29, 2021 at 9:18 PM

    The information in the post you posted here is useful because it contains some of the best information available. Thanks for sharing about eye doctor mahopac. Keep up the good work.

    ReplyDelete
  6. Laura BushDecember 23, 2021 at 2:31 AM

    I am very much obliged to you that you have shared retina doctors in houston knowledge with us. I got some different kind of information from your blog and it is really helpful for everyone. Thanks.

    ReplyDelete
  7. DwayneJune 3, 2022 at 1:10 PM

    Excellent post. I really enjoy reading and also appreciate your work.Eye doctor in Westchester This concept is a good way to enhance knowledge. Keep sharing this kind of articles, Thank you.

    ReplyDelete
  8. hudsoneyesyorktownAugust 20, 2022 at 9:33 AM

    I will share it with my other friends as the information is really very useful. Keep sharing your excellent work. Read more info about dry eye treatment in yorktown

    ReplyDelete
  9. Simon ConleyAugust 16, 2024 at 9:11 PM

    Grateful for shaaring this

    ReplyDelete

Post a Comment

Popular posts from this blog

RPE tear, and it's OCT features in a nutshell

RPE tear can occur in vascularized PEDs due to a complication of intravitreal AntiVEGF treatment, which causes a rapid contraction of CNVm, inducing traction on the RPE surface and shrinking of RPE surface. On OCT, the RPE rip will indent the retina with increased hyperreflectivity in contracted RPE with underlying shadowing hinders choroidal view in contrast to the area where RPE where it ripped of which only Bruch's membrane is visible and increasing the visibility of the underlying choroid. RPE tear Thus two opposite forces, the regression of CNVm and remaining attached RPE, other causes such as laser or spontaneous can occur. However, the AntiVEGF treatment continued despite the RPE tear. Please check  Clinical guidelines for ARMD  and  course of clinical changes in RPE
2 comments
Read more

Diabetic macular edema with ischemic changes associated with very severe NPDR

A 51 years old male known to be diabetic for ten years with excellent glycemic control profile along with normal blood pressure presented with BCVA 20/100 in his left eye; he had a better vision of 20/30 in the same eye one year ago when he used to be on intravitreal injections of aflibercept, but he decided to discontinue intravitreal injection as been advised by another physician. Fundus image His fundus image shows cystic formation at the fovea with a sign of intraretinal dot and blots hemorrhages in the mid periphery with cotton wool spots and IRMA (Intra Retinal Microvascular Abnormalities). Fundus image showing macular edema with intraretinal hemorrhage and cotton wool spots Optical coherence tomography His OCT scan shows thickened central macular tissues with disorganization of inner retinal layers and non-empty cystic formation as it is classic findings of diabetic macular edema with some empty cystic formation; however, the ellipsoid zone looks intact. OCT cross-section for ce
2 comments
Read more