Epiretinal Membrane/Macular Pucker
What is an Epiretinal Membrane?
An epiretinal membrane, also known as macular pucker, cellophane maculopathy, or macular wrinkling, is a condition where a thin layer of scar tissue develops on the surface of the retina. This scar tissue develops in an area responsible for our central vision, the macula.
The macula is made up of special nerve cells that provide our sharpest most detailed central vision. When an epiretinal membrane forms over the macula, it may contract, wrinkle and or elevate the macula resulting in distorted and/or blurred vision.
In some cases, patients may also notice symptoms similar to Eye Floaters & Flashes, especially if changes in the vitreous are contributing to the condition.
Why do I have an Epiretinal Membrane?
In most cases the development of an epiretinal membrane appears to be related to normal age related changes inside the eye.
In some cases it can be related to conditions such as:
- Diabetes (Diabetic Retinopathy)
- Retinal tears (Retinal Tear / Retinal Hole)
- Blockage of blood vessels (Retinal Vein Occlusion)
- Inflammation
- Prior eye surgery
Epiretinal membranes are not related to macular degeneration. Epiretinal membranes do not usually affect the other eye. They are quite common and affect up to 10% of people in later years (60 years of age or older).
Assessment for an Epiretinal Membrane
We are able to detect an epiretinal membrane during an eye examination. Sometimes, a special scan of the back of the eye (Optical Coherence Tomography) may be needed to confirm the presence of an epiretinal membrane.
This imaging is part of advanced Retinal Testing, which allows us to evaluate the macula in detail.
Your surgeon will assess your symptoms to help you decide whether you may benefit from surgery. The main symptoms that we look for when deciding to recommend surgery are blurring and distortion of vision that are interfering with your day-to-day activities.
Treatment for Macular Pucker
If your symptoms are significant you may want to consider surgery to help maximize the vision in your affected eye.
Surgery is the only way to treat an epiretinal membrane, there are no eye drops or medications that you can take that will help.
Learn more about this procedure here:
Vitreoretinal Surgery