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N.A. Chaudhry, A.J. Lavaque, P.E. Liggett, H.W. Flynn, Jr, D. Tom; Anterior Macular Prolapse Associated With Epiretinal Membrane; An Optical Coherence Tomography (OCT) Study . Invest. Ophthalmol. Vis. Sci. 2005;46(13):5465.
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Purpose: To report the characteristics of the anterior macular prolapse in patients with epiretinal membrane (ERM). Methods: The records of two patients that meet the criteria of macular herniation through an ERM were reviewed. Fluorescein angiograms and optical coherence tomography were used to study both cases. Results: A strong centripetal contraction combined with a senile posterior vitreous detachment makes the retinal tissue more mobile and prone to an anterior displacement. The coexistence of a contracting ERM pinches the prolapsed tissue perpetuating the herniation. Conclusions: The patients included in the present report show a rare macular complication related to an ERM. A pathogenic theory is presented in an attempt to explain the multi–faceted event that leads to the development of the retinal tissue prolapse.
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