Spontaneous separation of epiretinal membrane – A case report

This study is aimed to report a rare case of epiretinal membrane (ERM) spontaneous separation with subsequent visual improvement. We are reporting a case of cellophane maculopathy with peripheral lattice degeneration with hole. Our examination revealed thick ERM associated with relatively high visual acuity (VA) 20/40, and laser barrage was done for lattice degeneration and watchful waiting strategy was chosen for the ERM. On follow-up after 1 month, slight visual deterioration to 20/60 was noted initially but on later visit, spontaneous ERM separation was noted and there was corresponding increase in visual acuity to 20/25, with decrease in retinal thickness demonstrated by optical coherence tomography (OCT). Such cases give us additional evidence for deferring a surgery for management of patients with ERM with relatively high visual acuity.