{"id":101917,"date":"2024-03-03T22:31:03","date_gmt":"2024-03-03T22:31:03","guid":{"rendered":"https:\/\/www.atlasrleye.com\/?page_id=101917"},"modified":"2024-03-03T23:49:48","modified_gmt":"2024-03-03T23:49:48","slug":"clinical-case-15","status":"publish","type":"page","link":"https:\/\/www.atlasrleye.com\/en\/epiretinal-membranes\/clinical-case-15\/","title":{"rendered":"Clinical Case 15"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_custom_heading text=&#8221;MACULAR DISEASES&#8221; font_container=&#8221;tag:h5|font_size:22px|text_align:center|color:%23000000&#8243; use_theme_fonts=&#8221;yes&#8221; link=&#8221;url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fatlas%2F%231636632711938-40a9cd41-6444|&#8221;][vc_text_separator title=&#8221;&#8221; i_icon_fontawesome=&#8221;fas fa-eye&#8221; i_color=&#8221;custom&#8221; i_size=&#8221;lg&#8221; color=&#8221;custom&#8221; border_width=&#8221;8&#8243; add_icon=&#8221;true&#8221; css=&#8221;.vc_custom_1637080776101{margin-bottom: -5px !important;}&#8221; accent_color=&#8221;#bababa&#8221; i_custom_color=&#8221;#bababa&#8221;][vc_custom_heading text=&#8221;Epiretinal Membranes &#8211; Clinical Case 15&#8243; font_container=&#8221;tag:h1|text_align:center|color:%235f1b52&#8243; use_theme_fonts=&#8221;yes&#8221; link=&#8221;url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fepiretinal-membranes%2F|title:EPIRETINAL%20MEMBRANES|&#8221;]<div class=\"ult-spacer spacer-6a03b9a5f104c\" data-id=\"6a03b9a5f104c\" data-height=\"70\" data-height-mobile=\"70\" data-height-tab=\"70\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div>[\/vc_column][\/vc_row][vc_row][vc_column]<div class=\"ult-spacer spacer-6a03b9a5f10af\" data-id=\"6a03b9a5f10af\" data-height=\"10\" data-height-mobile=\"10\" data-height-tab=\"10\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div><div class=\"ult-spacer spacer-6a03b9a5f10f9\" data-id=\"6a03b9a5f10f9\" data-height=\"20\" data-height-mobile=\"20\" data-height-tab=\"20\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div>[\/vc_column][\/vc_row][vc_row gap=&#8221;35&#8243; equal_height=&#8221;yes&#8221;][vc_column width=&#8221;1\/2&#8243;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;102006&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221; onclick=&#8221;link_image&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<p style=\"font-size: 18px; text-align: justify;\"><span style=\"color: #000000;\">Macular epiretinal membrane in a 67-years-old female patient. She complains of metamorphopsia. Visual acuity: 20\/50 RE.<\/span><\/p>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;102084&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221; onclick=&#8221;link_image&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<p style=\"text-align: justify; font-size: 18px;\">Note the change in position of the epiretinal membrane epicenter at RE, over the course of two years.<\/p>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h3><span style=\"color: #5f1b52;\">Evaluations<br \/>\n<\/span><\/h3>\n<p>[\/vc_column_text][vc_tta_accordion active_section=&#8221;99&#8243; no_fill=&#8221;true&#8221; collapsible_all=&#8221;true&#8221;][vc_tta_section i_icon_fontawesome=&#8221;far fa-calendar-alt&#8221; add_icon=&#8221;true&#8221; title=&#8221;1st Evaluation &#8211; 30 11 2016&#8243; tab_id=&#8221;1641474772469-8c7e7552-9953&#8243;][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Fluorescein Angiography<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;101966,101970,101998,102002&#8243; img_size=&#8221;193&#215;206&#8243;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Autofluorescence<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;101990,101994&#8243; img_size=&#8221;185&#215;206&#8243;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Infrared<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;102014,101930&#8243; img_size=&#8221;185&#215;206&#8243;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Red-free<\/p>\n<div style=\"text-indent: 20px;\">\n<p style=\"font-size: 14px; text-align: justify;\"><span style=\"color: #000000;\">Macular epiretinal membrane RLE (hyper-reflectivity).<br \/>\n<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;102006,102010&#8243; img_size=&#8221;185&#215;206&#8243; css=&#8221;.vc_custom_1709506611638{margin-top: -30px !important;}&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Anterior Segment Photo<\/p>\n<div style=\"text-indent: 20px;\">\n<p style=\"font-size: 14px; text-align: justify;\"><span style=\"color: #000000;\">Cataract RLE. AV: 20\/50 RE, 20\/40 LE.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;101974,101978&#8243; img_size=&#8221;300&#215;206&#8243; css=&#8221;.vc_custom_1709506582321{margin-top: -30px !important;}&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">OCT (B-Scan) longitudinal<\/p>\n<div style=\"text-indent: 20px;\">\n<p style=\"font-size: 14px; text-align: justify;\"><span style=\"color: #000000;\">Macular epiretinal membrane RLE. Note the traction forces on the retina.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;101934,101938,101942,101946,101950,101954,101958,101962&#8243; img_size=&#8221;307*110&#8243; css=&#8221;.vc_custom_1709506701446{margin-top: -30px !important;}&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Colour Retinography<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;101982,101986&#8243; img_size=&#8221;251&#215;206&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=&#8221;far fa-calendar-alt&#8221; add_icon=&#8221;true&#8221; title=&#8221;2nd Evaluation &#8211; 11 04 2019&#8243; tab_id=&#8221;1709504960986-33ebdbbd-7013&#8243;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Autofluorescence<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;102076,102080&#8243; img_size=&#8221;185&#215;206&#8243;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Infrared<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;102092,102096&#8243; img_size=&#8221;185&#215;206&#8243;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Red-free<\/p>\n<div style=\"text-indent: 20px;\">\n<p style=\"font-size: 14px; text-align: justify;\"><span style=\"color: #000000;\">Note the change in position of the epiretinal membrane epicenter at RE.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;102084,102088&#8243; img_size=&#8221;185&#215;206&#8243; css=&#8221;.vc_custom_1709506917324{margin-top: -30px !important;}&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Anterior Segment Photo<\/p>\n<div style=\"text-indent: 20px;\">\n<p style=\"font-size: 14px; text-align: justify;\"><span style=\"color: #000000;\">RLE: cataract. AV: 20\/100 RE, 20\/200 LE.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;102047,102053&#8243; img_size=&#8221;280&#215;206&#8243; css=&#8221;.vc_custom_1709507319849{margin-top: -30px !important;}&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">OCT (B-Scan) longitudinal<\/p>\n<div style=\"text-indent: 20px;\">\n<p style=\"font-size: 14px; text-align: justify;\"><span style=\"color: #000000;\">Macular epiretinal membrane RLE.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;102100,102018,102022,102026,102030,102034,102038,102043&#8243; img_size=&#8221;307*110&#8243; css=&#8221;.vc_custom_1709506941901{margin-top: -30px !important;}&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Colour Retinography<\/p>\n<div style=\"text-indent: 20px;\">\n<p style=\"font-size: 14px; text-align: justify;\"><span style=\"color: #000000;\">Ultra-widefield fundus photograph showing asteroid hyalosis bodies. These opacities are located predominantly in the inferior vitreous due to gravity, leaving the visual axis free.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;102068,102072&#8243; img_size=&#8221;251&#215;206&#8243; css=&#8221;.vc_custom_1709506887522{margin-top: -30px !important;}&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=&#8221;far fa-calendar-alt&#8221; add_icon=&#8221;true&#8221; title=&#8221;3rd Evaluation &#8211; 10 07 2019&#8243; tab_id=&#8221;1709505036894-0b0c65b1-18b6&#8243;][vc_row_inner][vc_column_inner width=&#8221;1\/4&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Autofluorescence<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;102120&#8243; img_size=&#8221;251&#215;206&#8243;][\/vc_column_inner][vc_column_inner width=&#8221;1\/4&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Infrared<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;102112&#8243; img_size=&#8221;193&#215;206&#8243;][\/vc_column_inner][vc_column_inner width=&#8221;1\/4&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Red-free<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;102108&#8243; img_size=&#8221;193&#215;206&#8243;][\/vc_column_inner][vc_column_inner width=&#8221;1\/4&#8243;][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">Colour Retinography<\/p>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;102116&#8243; img_size=&#8221;251&#215;206&#8243;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<div class=\"row py-1\">\n<div class=\"col-12 border-bottom border-gray-light\">\n<p style=\"font-size: 18px;\">OCT (B-Scan) longitudinal<\/p>\n<div style=\"text-indent: 20px;\">\n<p style=\"font-size: 14px; text-align: justify;\"><span style=\"color: #000000;\">Two months after epiretinal membrane surgery (phacoemulsification with IOL implantation, pars plana vitrectomy, peeling of epiretinal membrane and MLI maculorrhexis). AV OD 3L 20\/30.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;102124,102128,102132,102104&#8243; img_size=&#8221;307*110&#8243; css=&#8221;.vc_custom_1709507055057{margin-top: -30px !important;}&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][\/vc_tta_accordion][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_custom_heading text=&#8221;MACULAR DISEASES&#8221; font_container=&#8221;tag:h5|font_size:22px|text_align:center|color:%23000000&#8243; use_theme_fonts=&#8221;yes&#8221; link=&#8221;url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fatlas%2F%231636632711938-40a9cd41-6444|&#8221;][vc_text_separator title=&#8221;&#8221; i_icon_fontawesome=&#8221;fas fa-eye&#8221; i_color=&#8221;custom&#8221; i_size=&#8221;lg&#8221; color=&#8221;custom&#8221; border_width=&#8221;8&#8243; add_icon=&#8221;true&#8221; css=&#8221;.vc_custom_1637080776101{margin-bottom: -5px !important;}&#8221; accent_color=&#8221;#bababa&#8221; i_custom_color=&#8221;#bababa&#8221;][vc_custom_heading text=&#8221;Epiretinal Membranes &#8211; Clinical Case 15&#8243; font_container=&#8221;tag:h1|text_align:center|color:%235f1b52&#8243; use_theme_fonts=&#8221;yes&#8221; link=&#8221;url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fepiretinal-membranes%2F|title:EPIRETINAL%20MEMBRANES|&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row][vc_row gap=&#8221;35&#8243; equal_height=&#8221;yes&#8221;][vc_column width=&#8221;1\/2&#8243;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;102006&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221; onclick=&#8221;link_image&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text] Macular epiretinal membrane [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":74116,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-101917","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/101917","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/comments?post=101917"}],"version-history":[{"count":7,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/101917\/revisions"}],"predecessor-version":[{"id":102338,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/101917\/revisions\/102338"}],"up":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/74116"}],"wp:attachment":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/media?parent=101917"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}