Good Visual Outcome Following Vitrectomy for Epiretinal Membrane With Foveal Tissue Herniation

Abstract

Epiretinal membrane with foveal herniation is a rare presentation of a common disease. Only 1 case without follow-up has been reported in the literature so far, and there are no reports on visual outcome following membrane peel. We present a patient with epiretinal membrane causing significant macular edema and foveal herniation through a round central hole within the epiretinal membrane. The patient underwent vitrectomy with epiretinal membrane peel and indocyanine green assisted wide internal limiting membrane peel, which resulted in substantial visual acuity gain and restoration of macular anatomy. The presence of severe foveal herniation does not preclude good visual and anatomic outcome.