Fig. 1.

Optical coherence tomography images from a 55-year-old white woman with an ERM accompanied by connecting strands. Preoperatively, a horizontal sectional image showed a moderately to highly reflective, connecting lesion under a highly reflective, convolute contour ERM (arrow). The connecting strands had visible but interrupted connections from the inner retinal surface to the ERM and seemed to distort both of them (first row). Although the ERM and the ILM have been removed, an intraoperative horizontal sectional image showed a highly reflective lesion with shadowing of the retina below (arrow). The shape of this lesion appeared as long “finger-like” and branching projections. The remained disconnected lesions were contiguous with the inner retinal surface and seemed to originate from the inner retinal layers (second row). Three months after surgery, the intraoperative remained lesion disappeared completely, and there was no recurrent formation of ERM (third row).