title: Macular hole secondary to epiretinal membrane in a juvenile patient.
abstract: OBJECTIVE
  To report a macular hole secondary to an idiopathic epiretinal membrane in a 14-year-old girl.
  
  
  METHODS
  Interventional case report.
  
  
  METHODS
  A 3-year-old girl who failed a public visual-screening test was examined. Since then, she had been followed-up for her epiretinal membrane, which began to peel spontaneously in the left eye for 11 years until a macular hole was observed. She was treated by vitrectomy and membranectomy, and the membrane was histologically examined.
  
  
  RESULTS
  The macular hole was successfully closed, and her visual acuity improved. The membrane appeared to have a homogenous structure and contained no cells.
  
  
  CONCLUSIONS
  The juvenile idiopathic epiretinal membrane sometimes peels spontaneously. However, long-term follow-up is needed because vitreous traction of the membrane by intraocular aging change may result in a macular hole.
authors.affiliation: Department of Ophthalmology, Juntendo University, School of Medicine, Tokyo 113-8431, Japan. yokoyama@med.juntendo.ac.jp
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Yokoyama
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Watanabe
authors.forename: Shigekuni
authors.initials: S
authors.lastname: Okisaka
authors.forename: Akira
authors.initials: A
authors.lastname: Murakami
mesh_terms: D002675:Child, Preschool; D019773:Epiretinal Membrane / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D012167:Retinal Perforations / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D041623:Tomography, Optical Coherence; D014792:Visual Acuity; D014821:Vitrectomy