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Doctor insights on: Alternative Treatments For Epiretinal Membrane

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What does epiretinal membrane over the mascula mean?

What does epiretinal membrane over the mascula mean?

Yes: An epiretinal membrane is a thin scar tissue-like layer that can distort the macula or cause swelling. Sometimes a pucker is referred to as "scar tissue on the retina", and "epiretinal gliosis." when appropriate, surgery to remove the pucker may be a good idea to halt vision deterioration, or modestly improve vision. Best to see a retina specialist for this kind of problem. ...Read more

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Can a epiretinal membrane deteriorate? or can it get better?

Can a epiretinal membrane deteriorate? or can it get better?

Mostly stable: This is a condensation of the interface between the vitreous gel and the underlying macula of the retina. It can occur as a response to surgery, trauma but frequently is spontaneous. Most stabilize and do not progress. A smaller number will progress and surgery is generally offered. Improvement is very rare spontaneously. ...Read more

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Is there any way to predict if an epiretinal membrane will continue to grow.

Is there any way to predict if an epiretinal membrane will continue to grow.

Not really: However, over long periods of time, most epiretinal membranes worsen. An epiretinal membrane should be monitored every 6-12 months for worsening. Once it reaches a certain threshold of effect on vision (poor visual acuity, or lots of distortion), surgery may be of benefit. ...Read more

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Is epiretinal membrane the same thing as macular pucker?

Is epiretinal membrane the same thing as macular pucker?

Yes: Yes, both terms describe the same condition. This condition results from a membrane forming from a remnant of vitreous that stays adherent to the retina after the vitreous separates from the retina. This condition may never cause visual issues, but in some people the membrane will wrinkle and may need to be surgically removed. ...Read more

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What is the difference between macular degeneration & epiretinal membrane?

What is the difference between macular degeneration & epiretinal membrane?

Totally different: Macualr degeneration is a condition that directly affects layers of the retina in the back of these that are responsible for light sensing (outer segments and RPE). The condition is usually present in the setting of having genetic suseptability. Epiretinal membrane grows on the inner surface of the retina. Is causes secondary retinal swelling and distortion affecting vision. ...Read more

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Comparing macular degeneration and epiretinal membrane, which is the most serious and why?

Depends: on severity. However, I would take an epiretinal membrane (term) over age related macular degeneration any day. The reason is that an erm, if treated we vision is still fairly good, has excellent results. Macular degeneration has no good treatment for the dry disease and folks often loose vision regardless of what is done. If vision loss is severe form erm before surgery, outcomes disappoint. ...Read more

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retina dr that treats epiretinal membrane thinks much of the macropsia is refractive because vision is 20/20. Recent rx didn't help. Any suggestions?

 retina dr that treats epiretinal membrane thinks much of the macropsia is refractive because vision is 20/20. Recent rx didn't help. Any suggestions?

Epiretinal Membrane: do cause distortion in vision to varying severities. But if you are able to read the 20/20 line, even though its not perfect, then leave it alone. The only treatment is surgery and this has the chance of making your vision worse. Glasses will only improve things to a certain degree because your Fuchs dystrophy and ERM are causing the imperfections in vision. ...Read more

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What does this mean? "Epiretinal membrane over the mascular area"?

What does this mean? "Epiretinal membrane over the mascular area"?

Membrane atop macula: Normally the vitreous gel which fills the eye sits on top of the macular (and the rest of the retina) with no direct connection. But sometimes, usually with age, trauma or surgery on the interior of the eye, there is a condensation of the vitreous gel edge in this area which can cause a wrinkling of the retina and visual distortion. This is an epiretinal membrane. ...Read more

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I have a epiretinal membrane. Dr said he isn't too concerned but will check it in a year. Why does it need to be monitored?

I have a epiretinal membrane. Dr said he isn't too concerned but will check it in a year. Why does it need to be monitored?

Monitor for vision : Most empire tonal membranes do not require intervention. However if it progresses causing vision distortion, vitreomacular traction, retinal swelling or intraretinal cystic changes then removal may be indicated. This is surgery performed only by a vitreoretinal specialist. ...Read more