PMC3678201_01
(a) At presentation. Epiretinal membrane (ERM) is fully attached at and nasal to the fovea, (b) 4 months later. ERM scrolled-up (white star) and separated temporal to the fovea. ERM is still attached at the fovea, (c) 6 months later. ERM scrolled-up edge (white star) continues to separate. It now appears detached from the fovea. ERM created a pseudohole and pulled up the retina temporal to the fovea, (d) 12 months later. ERM has fully separated from the fovea and is now separating nasal to the fovea (white star). Perifoveal cystoid change is present (white arrows)
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F1
SD-OCT showed an ERM bilaterally [right eye shown in [Figure 1a]. SD-OCT showed spontaneous ERM separation temporal to the fovea where it remained attached [Figure 1b]. SD-OCT showed further separation of the ERM from the fovea [Figure 1c]. SD-OCT showed a lamellar hole with continued separation of the ERM crossing the fovea and remaining attached nasal to the fovea [Figure 1d].