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MACULAR DISEASES

Epiretinal Membranes in Children

Clinical Case 02

Epiretinal Membranes in Children - Clinical Case 02

Fundus photograph of an idiopathic epiretinal membrane around the optic disc and extended to macula in a 6-year-old patient. Note the green pigmentation at the macular area typical of pediatric epiretinal membranes. Visual acuity: 20/32 RE

Epiretinal Membranes in Children - Clinical Case 02

Fundus photograph, 2 months after epiretinal membrane removal. Visual acuity: 20/20 RE

Evaluations

1st evaluation

21 0

13 09 2010 - Anterior Segment Photo

Anterior segment photograph in a 6-year-old male patient with idiopathic epiretinal membrane. Visual acuity: 20/32 RE

Anterior segment photograph in a 6-year-old male patient with idiopathic epiretinal membrane. Visual acuity: 20/32 RE

13 09 2010 - Autofluorescence

Autofluorescence photograph showing retinal vessels distortion caused by epiretinal membrane

13 09 2010 - Colour Retinography

Ultra-widefield photograph of an idiopathic epiretinal membrane around the optic disc and extended to macula

Ultra-widefield photograph (magnification)

Fundus photograph showing epiretinal membrane around the optic disc and extended to macula. Note the green pigmentation at the macular area typical of pediatric epiretinal membranes

Fundus photograph of healthy left eye

13 09 2010 - Fluorescein Angiography

Fluorescein angiogram at early phase showing the tortuosity of retinal vessels caused by epiretinal membrane

Fluorescein angiogram at early phase showing the tortuosity of retinal vessels caused by epiretinal membrane

Fluorescein angiogram at late phase showing the tortuosity of retinal vessels caused by epiretinal membrane

13 09 2010 - Infrared

13 09 2010 - OCT B-Scan (Longitudinal)

OCT line-scan showing the epiretinal membrane that causes retinal distortion

13 09 2010 - Red-free

Red-free photograph showing the epiretinal membrane around the optic disc that causes traction forces on the retina

Red-free photograph focused on the optic disc showing the epiretinal membrane around the optic disc that causes traction forces

2nd evaluation - postoperative

10 1

21 09 2010 - Autofluorescence

One day after epiretinal membrane surgery

21 09 2010 - Colour Retinography

Ultra-widefield photograph 1 day after epiretinal membrane removal. At surgery, the ILM was not totally removed due to the strong traction exerted to the retina. Visual acuity: 20/25 RE

Ultra-widefield photograph magnification 1 day after epiretinal membrane removal. At surgery, the ILM was not totally removed due to the strong traction exerced to the retina. Visual acuity: 20/25 RE

Fundus photograph, 1 day after epiretinal membrane removal. At surgery, the ILM was not totally removed due to the strong traction exerced to the retina. Visual acuity: 20/25 RE

Fundus photograph focused on the optic disc, 1 day after epiretinal membrane removal. At surgery, the ILM was not totally removed due to the strong traction exerced to the retina. Visual acuity: 20/25 RE

21 09 2010 - Fluorescein Angiography

Fluorescein angiogram at early phase, 1 day after epiretinal membrane removal

Fluorescein angiogram of the optic disc, at late phase

21 09 2010 - Red-free

Note the reduction of traction forces on the retina

20 09 2010 - Surgical Video

3rd evaluation

11 0

24 11 2010 - Autofluorescence

2 months after epiretinal membrane removal

24 11 2010 - Colour Retinography

Ultra-widefield photograph 2 months after epiretinal membrane removal

Ultra-widefield photograph (magnification)

2 months after epiretinal membrane removal

Fundus photograph 2 months after epiretinal membrane removal showing fibrous tissue located outside the inferior nasal arcade

24 11 2010 - OCT B-Scan (Longitudinal)

OCT two months after epiretinal membrane removal. Note the reduction of retinal distortion

24 11 2010 - Red-free

2 months after epiretinal membrane removal

4th evaluation

7 0

03 03 2011 - Autofluorescence

6 months after epiretinal membrane surgery

6 months after epiretinal membrane surgery

03 03 2011 - Colour Retinography

Ultra-widefield photograph, 6 months after epiretinal membrane surgery. Visual acuity: 20/25 RE

03 03 2011 - Infrared

6 months after epiretinal membrane surgery

03 03 2011 - Red-free

6 months after epiretinal membrane surgery

Red-free photograph of the superior arcade showing fibrous tissue

5th evaluation

20 0

25 08 2011 - Anterior Segment Photo

Anterior segment photograph, 1 year after epiretinal membrane surgery. Visual acuity: 20/25 RE

25 08 2011 - Autofluorescence

1 year after epiretinal membrane surgery

25 08 2011 - Colour Retinography

1 year after epiretinal membrane surgery

1 year after epiretinal membrane surgery

25 08 2011 - Fluorescein Angiography

Fluorescein angiogram (arterial phase)

Fluorescein angiogram (early phase)

Fluorescein angiogram (mid-phase)

Fluorescein angiogram (late phase) shows no leakage

26 05 2011 - Nervous Fiber Analysis

25 08 2011 - OCT B-Scan (Longitudinal)

OCT one year after epiretinal membrane surgery. Note the recovery of retinal structure

1 year after epiretinal membrane surgery. Note the traction forces on the retina caused by fibrous tissue along the superior arcade

25 08 2011 - Red-free

1 year after epiretinal membrane surgery

6th evaluation

6 0

01 07 2013 - Colour Retinography

Three years after surgery. VA: 20/22 RE

01 07 2013 - OCT B-Scan (Longitudinal)

Three years after surgery. VA: 20/22 RE

7th evaluation

6 0

19 12 2014 - Autofluorescence

Autofluorescence

19 12 2014 - Colour Retinography

Four years after surgery. VA: 20/22 RE

19 12 2014 - OCT B-Scan (Longitudinal)

8th evaluation

6 0

16 06 2015 - Colour Retinography

Five years after surgery. VA: 20/22 RE

16 06 2015 - OCT B-Scan (Longitudinal)

Five years after surgery. VA: 20/22 RE

9th evaluation

9 0

19 06 2017 - Autofluorescence

Ultra-widefield photograph of autofluorescence

19 06 2017 - Colour Retinography

Seven years after surgery. VA: 20/22 RE

19 06 2017 - OCT B-Scan (Longitudinal)

Seven years after surgery. VA: 20/22 RE

19 06 2017 - Red-free

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