10.3 Patients may be asymptomatic or complain of metamorphopsia and blurring of varying severity. On examination, the epiretinal layer can be seen as a glistening membrane overlying the fovea, often associated with retinal striae in a radial fashion and macular thickening (Fig. 10.3.1). Contraction of the membranes can also cause retinal vascular distortion. More severe epiretinal membranes can cause loss of the normal foveal reflex and ‘pseudohole’ formation.
Epiretinal Membrane
Clinical Features: