Should I have surgery for epiretinal membrane?
There is no wrong or right time to have epiretinal membrane surgery . Some people may choose not to have surgery and to accept the distorted vision in one eye. If you have good vision in the other eye, over time you will adapt to the distorted vision in the affected eye and this may no longer bother you.
How successful is epiretinal membrane surgery?
Purpose: Surgery has been successful in removing epiretinal membranes (ERM) from the macula, allowing some improvement in vision in 80-90% of patients; however, complications are relatively frequent.
How long does epiretinal membrane surgery take?
The surgery usually takes less than one hour to perform. It is typically done under local anesthesia so that you are awake and comfortable during the procedure and have minimal complications from anesthesia postoperatively. If you are awake, it is very important for you stay still during surgery .
Is epiretinal membrane serious?
An epiretinal membrane will not cause total blindness – it will typically only affect the central vision in the affected eye, while peripheral or ‘side’ vision remains unaffected. Sometimes, the condition can be very mild, and have no effect on vision at all.
How long do I have to stay face down after vitrectomy?
Patients having vitreo- retinal surgery for a macular hole will need to posture face down for 14 days; for other conditions this is only necessary for 5 days. “My main hobby is reading and the ensuing period of book deprivation was horrible.”
Can glasses help epiretinal membrane?
The only way to treat an epiretinal membrane is by having an operation called a vitrectomy. Eye drops or glasses are not effective.
Is epiretinal membrane progressive?
Approximately 90% of epiretinal membranes do not grow or cause progressive blurring or distortion of vision. Mild epiretinal membrane is causing only minimal symptoms typically do not progressively get worse.
What are the symptoms of epiretinal membrane?
Symptoms Decreased vision or loss of central vision . Central vision allows the eyes to see ahead to read or drive or see fine details. Distorted or blurred vision . Double vision . Wavy vision . Problems reading small print.
What is the success rate of vitrectomy surgery?
Safety and Results: Severe complications are rare and anatomic success for vitrectomy is over 90% for many conditions. Advances in instrumentation, techniques, and understanding of diseases of the vitreous and retina have made vitrectomy and retina surgery more successful .
When can I drive after epiretinal membrane surgery?
You might have some pain in your eye and your vision may be blurry for a few days after the surgery . You will need 2 to 4 weeks to recover before you can do your normal activities again. It may take longer for your vision to get back to normal.
What can you not do after a vitrectomy?
In general, activities like driving, reading, and exercise will need to be avoided for a few days after the procedure. Some people will be required to lay face down for a period of time to help their eye heal properly. Often, eye drops will be prescribed to help prevent infection and to reduce inflammation.
Does cataract surgery cause epiretinal membrane?
While mild epiretinal membranes may minimally affect vision, a more extensive lesion can cause macular distortion and can limit vision after cataract surgery and put the patient at higher risk for postoperative complications.
Will epiretinal membrane go away?
If an epiretinal membrane is mild and not interfering with your vision, no treatment is required. An annual review and OCT scan to monitor for progression are important. Once a membrane develops, it will never go away on its own. Once the membrane begins to affect your vision, it can be removed surgically.
What causes ERM?
The cause of ERMs is due to a defect in the surface layer of the retina where a type of cell, called glial cells, can migrate through and start to grow in a membranous sheet on the retinal surface.
Does Medicare cover epiretinal membrane surgery?
Yes. Screening for potential disease, such as macular degeneration or epiretinal membrane , using scanning computerized ophthalmic diagnostic imaging of the posterior segment (SCODI-P), is not covered because prophylactic testing is not a Medicare benefit unless specifically authorized by Congress.