Abstract
Background: To report a 7-years old child with bilateral macular pseudohole and high hypermetropia. Methods: Full ophthalmic examination including The Watzke-Allen test, retinal photographs and optical coherence tomography was performed. Results: There were bilateral high hypermetropia and ambliopia. There were no history of ocular diseases, trauma or surgery. Uncorrected visual acuity was counting finger at 3 meters in each eye. Manifest refraction was +13.0+1.0@90 OD, +13.5+1.0@90 OS. Best corrected visual acuity was 20/70 in the right eye and 20/70 in the left eye. Cover tests were normal. There were macular hole views in both eyes. Optical coherence tomography findings were compatible with epiretinal membrane and macular pseudohole. Conclusion: The coexistence of bilateral idiopathic epiretinal membrane and bilateral high hypermetropia in a child is noteworthy and first in the literatures.
Highlights
Epiretinal Membrane (ERM) is characterized by wrinkling or distortion of macular surface caused by glial cell proliferation
We present a case of 7-years old child with bilateral Macular pseudohole (MPH) secondary to idiopathic ERM and bilateral high hypermetropia
We evaluated a 7-years old boy with bilateral MPH
Summary
It was his first visit to an ophthalmologist. Uncorrected visual acuity was counting finger at 3 meters in each eye. Best corrected visual acuity was 20/70 in each eye. Macular view was similar to ERM reflex designation and macular hole formation (Figure 1A, Figure 1B). We tried to perform the Watzke-Allen test. A vertical beam light was presented to the fovea using slit lamp beam with a fundus lens. There was a verticalization of the foveal margin and thickened foveal edges in OCT. Optical coherence tomography findings were compatible with ERM and MPH (Figure 2A, Figure 2B)
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