PDF(Pubmed)
Abstract：
Epiretinal membranes (ERMs) typically remain stable or progressively worsen. Here, we report two rare cases of spontaneous ERM regression and one case of ERM separation. This is a case series of three patients. The patients\' clinical data were collected and ERMs were evaluated with serial optical coherence tomographies (OCTs). Cases one and two were female patients presenting with floaters. Mild-to-moderate idiopathic ERM was diagnosed which spontaneously regressed over the following years without intervention and evidence of separation. Patients\' vision was slightly decreased or remained stable, respectively. Case three was a female patient presenting with blurry vision. A mild ERM was diagnosed with vitreomacular traction (VMT) and a tiny macular hole. Over the following three months, ERM separation along with VMT release was evidenced on OCT. The macular hole healed simultaneously. Her vision improved from 20/70 to 20/30. The possibility of spontaneous regression of idiopathic ERMs should be a factor to consider in management. Further research must be done to determine the mechanism of this phenomenon.
摘要：
视网膜膜（ERM）通常保持稳定或逐渐恶化。这里,我们报告了2例罕见的自发性ERM消退和1例ERM分离。这是三个病人的系列病例。收集患者的临床数据，并使用系列光学相干断层扫描（OCT）评估ERM。病例1和2是出现漂浮物的女性患者。诊断为轻度至中度特发性ERM，在随后的几年中自发消退，没有干预和分离的证据。患者视力略有下降或保持稳定，分别。病例3是一名女性患者，视力模糊。轻度ERM被诊断为玻璃体黄斑牵引（VMT）和小黄斑孔。在接下来的三个月里，OCT证实ERM分离以及VMT释放。黄斑裂孔同时愈合。她的视力从20/70提高到20/30。特发性ERM自发消退的可能性应该是管理中需要考虑的因素。必须进行进一步的研究以确定这种现象的机理。
