Conditions

Epiretinal membrane

The epiretinal membrane is a thin and transparent layer of tissue that can form over the retina. It’s presence can cause visual distortion or blurriness.

What is Epiretinal membrane?

An epiretinal membrane is a thin layer of scar tissue that can form over the retina and cause problems with central vision. The retina is a light-sensitive tissue that transmits visual information to the optic nerve. When it becomes blocked, damaged or detached, vision is affected.

Epiretinal membrane explained

The central part of the retina is called the macula — this area deals with your central vision, some aspects of colour perception and allows you to see small details. An epiretinal membrane will form on or just above this area. Problems with vision start to occur when the membrane contracts over the retina, causing it to wrinkle.

The vision loss isn’t complete — most patients experience blurriness and visual distortions in their central vision.

Initially, the condition has no symptoms and the visual distortions may be so mild that you don’t notice them.

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Symptoms

The symptoms of ERM’s will vary. Some experience no symptoms, while others may experience the following:

Causes

Epiretinal membranes, also known as macular puckers or cellophane maculopathy, are thin, transparent membranes that form on the surface of the retina, specifically the macula. The causes of epiretinal membranes are not always clear, but some common factors that may contribute to their formation include:
As individuals age, the vitreous gel inside the eye may shrink and pull away from the retina. This natural process can sometimes lead to the formation of epiretinal membranes.
Conditions that affect the blood vessels in the retina, such as diabetic retinopathy or retinal vein occlusion, can increase the risk of developing epiretinal membranes.
Previous eye surgery or trauma to the eye can sometimes trigger the formation of epiretinal membranes.
Inflammatory conditions affecting the retina or previous retinal injuries can also be risk factors for epiretinal membrane formation.
People with high levels of nearsightedness are more prone to developing epiretinal membranes.
There may be a genetic predisposition to the development of epiretinal membranes in some individuals.
It is important to consult an eye care specialist for a proper diagnosis and treatment plan if you experience symptoms such as blurred or distorted central vision, difficulty reading, or straight lines appearing wavy, as these may indicate the presence of an epiretinal membrane.

Treatments

In most cases, the condition doesn’t require treatment. Having no initial symptoms or very mild ones, an epiretinal membrane can be monitored through regular trips to the optometrist.

If blurry or distorted vision makes everyday tasks difficult, it may be time to consider surgery. A vitrectomy can be used to precisely remove the epiretinal membrane and restore vision. This leads to a significant improvement in vision for almost everyone who undergoes the procedure.

Early detection and treatment generally leads to a good outcome from ERM surgery.

If you are facing any concerns? We're here to help!

Our experts can assist you in booking an appointment to discuss the most suitable treatment options for your specific needs.