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John I. Loewenstein, MD; Scott M. Warden, MD; Sophia I. Pachydaki, MD; John B. Christoforidis, MD; Donald J. D’Amico, MD

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In reply

We thank Dr Federici for his insightful comments. As mentioned in our article, we agree that subclinical CNV may have coexisted with the epiretinal membrane at the initial examination. Fluorescein angiography and optical coherence tomography were not performed preoperatively. All of the 3 patients, however, lacked clinical findings suggestive of macular degeneration or other causes of CNV. We therefore believe that it is more likely the CNV was secondary to the epiretinal membrane surgery.

The patient in case 1 was a 47-year-old man. Although the digital photograph in the article may appear to show a retinal pigment epithelial abnormality, the stereoscopic view of the macula during examination did not. Our clinical examination and review of additional photographs show that the "hypopigmented" area in the photograph is superficial to . . . [Full Text of this Article]

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RELATED LETTER

Choroidal Neovascularization Following Macular Surgery
Thomas J. Federici
Arch Ophthalmol. 2007;125(6):856.
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RELATED ARTICLE

Choroidal Neovascularization After Epiretinal Membrane Removal
Scott M. Warden, Sophia I. Pachydaki, John B. Christoforidis, Donald J. D’Amico, and John I. Loewenstein
Arch Ophthalmol. 2006;124(11):1652-1654.
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