Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a chief complaint of [gradual/progressive] [blurred/distorted] vision in the [OD/OS/OU]. Reports symptoms of metamorphopsia, noting that straight lines appear wavy or bent. Denies acute vision loss, flashes, or floaters. Symptoms have been present for [duration].
Clinical Examination Findings
Slit-lamp biomicroscopy reveals a glistening, semi-translucent epiretinal membrane overlying the macula. Fundus examination confirms [macular pucker/wrinkling] of the internal limiting membrane. No evidence of macular hole, retinal detachment, or vitreous hemorrhage. OCT macula shows [focal/diffuse] hyper-reflective preretinal membrane with associated retinal thickening and loss of foveal contour.
Treatment Protocol
Plan: Observation for mild cases with stable visual acuity. Amsler grid monitoring at home. If symptoms progress or visual acuity declines to [20/X], discuss pars plana vitrectomy with membrane peeling. Referral to retina specialist for surgical consultation if indicated.