Retinal Assistant Module Blog

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

A 63 years old lady systematically free presented with symptoms of floaters of her right eye minimally distorted vision BCVA in her left eye 20/25, and her vision in the left eye is 20/20. Her left eye's clinical examination: anterior and posterior segment unremarkable while her right eye the anterior segment exam is unremarkable, her fundus exam shows some vitreous opacities and abnormal macular and irregular foveal reflex. Fundus image Fundus colored photograph shows wrinkling of the internal limiting membrane (ILM) and epiretinal formation with vascular tortuosity forming a cellophane maculopathy. However, the fovea has an abnormal shape with suspicion of a macular hole; some of the fundus' anatomical features are masked due to vitreous opacities. Fundus image showing epiretinal membrane forming macular pseudohole Optical coherence tomography OCT scan shows vitreomacular abnormalities in the form of an epiretinal membrane with minimal focal disturbance of inner retinal tissu...