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Doctor insights on: Is Epiretinal Membrane The Same Thing As Macular Pucker

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Dr. Elizabeth Holland Dr. Holland
Ophthalmology
years in practice
1

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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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Dr. Colin McCannel Dr. McCannel
Ophthalmology - Retinal Surgery
26 years in practice
Mayo Clinic College of Medicine
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Please tell me if an epiretinal membrane in the eye the same as macular pucker?

Please tell me if an epiretinal membrane in the eye the same as macular pucker?

Same: Those terms mean the same thing. Additionally, 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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Dr. Colin McCannel Dr. McCannel
Ophthalmology - Retinal Surgery
26 years in practice
Mayo Clinic College of Medicine
3

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Is it true that an epiretinal membrane in the eye is the same as macular pucker?

Is it true that an epiretinal membrane in the eye is the same as macular pucker?

Yes: Those terms mean the same thing. Additionally, 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

Dr. Colin McCannel Dr. McCannel
Ophthalmology - Retinal Surgery
26 years in practice
Mayo Clinic College of Medicine
5

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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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Dr. Colin McCannel Dr. McCannel
Ophthalmology - Retinal Surgery
26 years in practice
Mayo Clinic College of Medicine
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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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Dr. Colin McCannel Dr. McCannel
Ophthalmology - Retinal Surgery
26 years in practice
Mayo Clinic College of Medicine
7

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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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Dr. Richard Bensinger Dr. Bensinger
Ophthalmology
48 years in practice
Johns Hopkins University School of Medicine
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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

Dr. Colin McCannel Dr. McCannel
Ophthalmology - Retinal Surgery
26 years in practice
Mayo Clinic College of Medicine
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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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Dr. Richard Bensinger Dr. Bensinger
Ophthalmology
48 years in practice
Johns Hopkins University School of Medicine
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Can epiretinal membrane affect peripheral vision?

Can epiretinal membrane affect peripheral vision?

Not by itself: If an epiretinal membrane is the only pathology in the back of the eye, then the peripheral vision will be unaffected. Epiretinal membranes are commonly present in association with other retinal problems which may affect the peripheral vision although the membrane did not cause that. ...Read more

Dr. Michael Kleerekoper Dr. Kleerekoper
Internal Medicine - Endocrinology
47 years in practice
University of Sydney Faculty of Medicine
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Can a moderate epiretinal membrane cause loss of depth perception.

Can a moderate epiretinal membrane cause loss of depth perception.

Eyes: Yes! At age 71 I have been wearing glasses since age 6 and have had changes made more often than I can remember. Please see your eye doctor as soon as you can!. ...Read more

Dr. Niraj Patel Dr. Patel
Ophthalmology
23 years in practice
University of Michigan Medical School
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What to do if I have epiretinal membrane peel and vitrectomy plus a new lense?

What to do if I have epiretinal membrane peel and vitrectomy plus a new lense?

Epiretinal Membrane: Sounds like your doctor may have recommended surgery for your epiretinal membrane or macular pucker (ERM) as it is possibly affecting your vision. Not sure what you are asking re 'what to do'. Are you asking if you should have the surgery or are you asking what you can do after surgery? Deciding to have a surgical procedure such as ERM repair should be discussed in detail with your eye surgeon. ...Read more

Dr. Richard Bensinger Dr. Bensinger
Ophthalmology
48 years in practice
Johns Hopkins University School of Medicine
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Can you tell me about epiretinal membrane peel and vitrectomy plus a new lense?

Can you tell me about epiretinal membrane peel and vitrectomy plus a new lense?

Major surgery: You apparently have a cataract and an epiretinal membrane (erm). The erm causes wrinkling of the macular area with visual distortion. The cataract obstructs the view. Removal of the cataract and then doing a vitrectomy (removal of the gel in the back of the eye) allows removal by peeling off the erm. The removed cataract is replaced with a new lense. Retinal surgeons do this often. ...Read more

Dr. Richard Scartozzi Dr. Scartozzi
Ophthalmology - Retinal Surgery
15 years in practice
Johns Hopkins University School of Medicine
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What can I expect when getting an epiretinal membrane peel and vitrectomy plus a new lens?

What can I expect when getting an epiretinal membrane peel and vitrectomy plus a new lens?

See below: Epiretinal membranes are peeled when these membranes distort the macula (central retina) and thus the central vision. Vitrectomy is necessary in order to allow surgical instruments access to the membrane on the macula to peel it. This should improve central visual distortion. Vitrectomy always accelerates cataract formation, so a new intraocular lens replaces the cataract to focus light better. ...Read more

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Dr. David Campbell Dr. Campbell
Ophthalmology
23 years in practice
Florida International University College of Medicine
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In general how fast can epiretinal membrane disease advance and cause permanent vision loss?

Treatable.: An epiretinal membrane causes distortion of the vision because the membrane distorts the macular cells. It can be fixed with surgery. It can progress at different rates among patients and sometimes doesn't progress or spontaneously resolves. See your Ophthalmologist. ...Read more

Dr. Richard Bensinger Dr. Bensinger
Ophthalmology
48 years in practice
Johns Hopkins University School of Medicine
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In surgery for epiretinal membrane is it likely that all of the vision that was lost will come back?

In surgery for epiretinal membrane is it likely that all of the vision that was lost will come back?

That is the goal: The epiretinal membrane , a condensation of the edge of the adjacent vitreous gel, pulls on the wrinkles the underlying retina. Removal allows the retina to flatten out and elminates some distortion from the membrane as well. If the retina was perfectly healthy underneath, then recovery is likely, but the surgery is tricky and the tissues not always health so recovery is not a guarantee. ...Read more

Dr. Richard Bensinger Dr. Bensinger
Ophthalmology
48 years in practice
Johns Hopkins University School of Medicine
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Can an epiretinal membrane cause 2 or 3 letters in a line of words on a computer or on a street sign to look smudged, blurry or partly missing.

Can an epiretinal membrane cause 2 or 3 letters in a line of words on a computer or on a street sign to look smudged, blurry or partly missing.

Yes: An epiretinal membrane is a condensation of the vitreous tissue atop the macular area. It's attachments to the underlying retina can cause the symptoms you describe. Hopefully these are minor and not progressive but if that happens, see a retinal surgeon for evaluation and treatment. ...Read more

Dr. Stan Coleman Dr. Coleman
Ophthalmology
59 years in practice
University of Virginia School of Medicine
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Dr. Sadiqa Stelzner Dr. Stelzner
Ophthalmology
24 years in practice
Boston University School of Medicine
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Is it better to have surgery for epiretinal membrane in early stage instead of waiting for vision to worsen? I have minor blurring, no distortion now.

Is it better to have surgery for epiretinal membrane in early stage instead of waiting for vision to worsen? I have minor blurring, no distortion now.

Yes, better wait: If you have a good vision and no distortion then please wait. Sometime the membrane can resolve by itself. There is a higher risk and complication with surgery. Therefore, its advice to wait until its visually significant. If you have burning sensation then Its a superficial problem from dry eyes. Please use some artificial tears, omega 3 and heat pack over the eye. Ask Your doc for quidance ...Read more

Dr. Richard Bensinger Dr. Bensinger
Ophthalmology
48 years in practice
Johns Hopkins University School of Medicine
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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