나이가 많은 환자에서 발생한 특발성망막앞막의 자연 분리 1예
Spontaneous Separation of Idiopathic Epiretinal Membrane in an Elderly Patient
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목적: 나이가 많은 환자에서 특발성망막앞막이 자연 분리된 1예를 경험하였기에 이를 보고하고자 한다. 증례요약: 61세 남자 환자가 우안의 시력저하를 주소로 내원하였고 양안의 후유리체박리와 우안의 특발성망막앞막이 관찰되었다. 환자는 우안의 유리체절제술 및 망막앞막제거술을 시행 받았고 1년 후 우안의 시력은 호전되었으나 좌안의 시력저하와 특발성망막앞막이관찰되었다. 좌안의 증상이 심하지 않아 수술하지 않고 경과관찰하였으며 3년 후 좌안의 망막앞막이 자연 소실되고 시력이 호전되었다. 결론: 저자들은 후유리체박리가 이미 있는 61세 환자에서 특발성망막앞막이 저절로 분리된 드문 경우를 경험하였으며 후유리체박리와관계 없이 망막앞막이 분리되는 기전을 여러 문헌을 통해 고찰하였다.
Abstract
Purpose: To report a case of spontaneous separation of idiopathic epiretinal membrane in an elderly patient. Case summary: A 61-year-old male presented with decreased visual acuity in the right eye. He was diagnosed with idiopathicepiretinal membrane (ERM) in the right eye and posterior vitreous detachment (PVD) in both eyes. The patient underwentpars plana vitrectomy and ERM removal in the right eye. At postoperative 1 year, his vision in the right eye had improved,but idiopathic ERM developed in the left eye and visual acuity in the left eye decreased. Three years later, the ERMin the left eye resolved spontaneously and his vision increased. Conclusions: Herein we present a rare case of spontaneous separation of idiopathic ERM associated with a pre-existingPVD in an elderly patient and reviewed the available literatures regarding the possible mechanisms for the spontaneousseparation of ERM in the presence of a pre-existing PVD.
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