Epiretinal membrane 

What is Epiretina membrane (ERM)

Epiretinal membrane is a delicate sheet-like scar or membrane that forms on top of the retina or back of our eyes. When it forms over the macula which is the central part of retina, it can cause distortion or blurry vision.

How to treat Epiretina membrane, Epiretina membrane peeling

This condition may be monitored closely with series of macula scanning until effect vision when a surgical treatment can be indicated, An epiretinal membrane peel is a new procedure for removing this sheet or scar tissue in the macular (the central part of the retina). The macular is responsible for detailed and near vision. This procedure is often done with vitrectomy surgery. 

During an epiretinal membrane peeling, the surgeon will make several small incisions on the sclera to remove the vitreous gel for easy access to the retinal layer. The surgeon will use the micro-forceps to peel off the epiretinal membrane from the macula carefully. The last step is placing a small glass bubble into the eye to hold the retina in place as it heals. 

In most epiretinal membrane peels, the surgeon doesn’t place sutures since the instruments used in the procedure are precise. This leads to minimal discomfort during recovery. 

Recovery following epiretinal membrane peel

After your epiretinal membrane peel, swelling and discomfort may occur. The surgeon will prescribe medications to reduce the discomfort. You will also get a series of antibiotic eye drops and anti-inflammatory drops for the affected eye. Ensure you adhere to the surgeon’s instructions for the frequency and duration of administering the drops. The recommended period for using the prescribed drops varies between patients. 

Immediately after the procedure, you will have an eye patch, but the technician will remove the eye patch the next day during your first post-operative appointment. However, you need to wear the eye patch before sleeping for at least two weeks after the procedure to protect your eyes and aid recovery. 

You may need to keep the gas bubbles in place until a seal forms around the treated retina. Some people have to place their eyes and head in a certain position for at least 90% of the day within the first 1 – 3 weeks. 

Avoid lying on your back to prevent the bubble from moving to the eye surface and pressing against the lens to cause other issues. 

Ensure you do the following in the first two weeks following your epiretinal membrane peel. 

• Avoid air travels
• Avoid driving 
• Avoid lifting weights weighing over 5 – 10 lbs
• Avoid activities involving bending your waist, including sports, household chores, and exercise
• Avoid using hot tubs, bathtubs, lakes, and pools. You can shower, but cover your eyes to prevent water from entering them 
• Avoid reading or using a computer, including smartphones, tablets, and iPhones
• You can watch TV since it requires less eye strain and movement but remain at least 6 feet away from the television. 

Blurred vision for near and distant objects usually occurs 4 – 6 weeks after your retinal surgery. Your vision will gradually improve over time.

Ensure you contact your doctor if you experience the following after your epiretinal membrane peel. 

• Increasing pain
• A sudden reduction in vision 
• Light sensitivity or eye discharge besides watering 
• Increasing redness 
• Light flashes, changes in your visual field, or new floaters 

If you notice changes in your near vision and think you need the epiretinal membrane peel procedure, visit Optimal Vision for a consultation with our eye surgeons. You can contact us now on 020 7183 3725 to schedule an appointment.