Eye Conditions

Epiretinal Membrane

What is an Epiretinal Membrane?

An Epiretinal Membrane, or macular pucker, is thin layer of tissue that has formed over the retina.

Over time these cells contract and form scar-tissue which can pull and distort the shape of the macula resulting in blurry and ‘wavy’ central vision. 

It can also be known by other names such as: pre-retinal membrane, cellophane maculopathy, surface wrinkling retinopathy, and pre-macular fibrosis. 

 

What are the symptoms?

Most people are unaware of having developed an epiretinal membrane, however, these symptoms can occur in more advanced cases: 

  • Distorted vision (straight lines appear wavy) 
  • Increasing blur of printed words 
  • Difficulty reading and seeinfine detail 
  • Difficulty recognising faces 
  • Reduced intensity or brightness of colour

What is an Epiretinal Membrane?

An Epiretinal Membrane, or macular pucker, is thin layer of tissue that has formed over the retina.

Over time these cells contract and form scar-tissue which can pull and distort the shape of the macula resulting in blurry and ‘wavy’ central vision. 

It can also be known by other names such as: pre-retinal membrane, cellophane maculopathy, surface wrinkling retinopathy, and pre-macular fibrosis. 

 

What are the symptoms?

Most people are unaware of having developed an epiretinal membrane, however, these symptoms can occur in more advanced cases: 

  • Distorted vision (straight lines appear wavy) 
  • Increasing blur of printed words 
  • Difficulty reading and seeinfine detail 
  • Difficulty recognising faces 
  • Reduced intensity or brightness of colour

What causes an Epiretinal Membrane?

Epiretinal membranes typically form in patients over 50 who have had a posterior vitreous detachment (PVD).

A PVD is a natural occurrance in the ageing process and is when the vitreous (jelly-like substance in the eye maintaining its round shape) pulls away from the retina. A PVD can also occur after surgery or inflammation of the eye. 

Epiretinal membranes can also be linked to other eye conditions including: 

  • diabetic eye disease 
  • eye inflammation (uveitis) 
  • trauma  
  • retinal detachment

Epiretinal Membrane: Overview

Treatment of Epiretinal Membrane

Currently, there are no eye drops, medications, supplements, or laser treatments available that can stop the formation of an epiretinal membrane or improve already distorted vision.

 

In many cases, the symptoms of vision distortion and blurriness are mild, so no treatment is necessary although regular monitoring is recommended.

 

Vitrectomy surgery may be recommended if an epiretinal membrane progresses to cause significant vision deterioration that affects daily activities.

Vitrectomy: Overview

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