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What Is an Epiretinal Membrane (ERM)?
An Epiretinal Membrane (ERM)—also known as cellophane maculopathy or macular pucker—is a thin, semitransparent layer of fibrocellular tissue that forms on the inner surface of the retina over the macula. It can contract, causing puckering or wrinkling of the retina, leading to symptoms like visual distortion (metamorphopsia) and blurred central vision (asrs.org, Wikipedia).
Common Causes:
- Idiopathic, often linked to age-related Posterior Vitreous Detachment (PVD) (asrs.org, Wikipedia).
- Trauma, previous retinal surgery or tears, diabetic retinopathy, or intraocular inflammation (asrs.org, Wikipedia).
Symptoms:
- Many ERMs are discovered incidentally and may remain asymptomatic (asrs.org, Medical News Today).
- When symptoms occur, they include:
Diagnosis & Monitoring
- A dilated retinal exam can detect ERMs.
- Optical Coherence Tomography (OCT) is the gold standard imaging tool, enabling precise visualization of the membrane and assessment of foveal distortion (asrs.org, PMC).
- Disease staging (from mild to severe) helps tailor treatment decisions (Medical News Today).
When Is Surgery Recommended?
Surgical intervention is considered when:
- Metamorphopsia interferes with daily activities (reading, driving, recognizing faces).
- There is progressive visual decline or significant central distortion (Retina Today, EyeWiki).
ERM Removal Surgery: What to Expect
Procedure:
- A pars plana vitrectomy (PPV) is performed to remove the vitreous gel.
- The ERM is delicately peeled away under high magnification.
- In some cases, the Internal Limiting Membrane (ILM) is also peeled to reduce recurrence risk (EyeWiki, reviewofophthalmology.com, ophthalmologyretina.org).
- Brilliant Blue G dye and intraoperative OCT may be used to ensure complete membrane removal and minimize trauma (EyeWiki).
ILM Peeling: Pros & Cons:
- Pros:
- Lower rate of ERM recurrence (reviewofophthalmology.com, AAO).
- Cons:
- Potential for retinal trauma or delayed visual recovery (ophthalmologyretina.org, bjo.bmj.com, retina-specialist.com).
Outcomes:
- Most patients notice gradual improvement in vision, typically within 3–6 months; some may continue improving up to a year post-surgery (EyeWiki).
- Average vision improves from about 20/110 pre-op to approximately 20/55 post-op (EyeWiki).
- Recurrence of ERM occurs in around 1% of cases when ILM is removed (EyeWiki).
Why Trust Dr. Jignesh Gala for ERM Removal in Mumbai?
- Expert Surgical Retina Specialist: Recognized for precision and excellence in retinal surgeries including ERM removal.
- Advanced Surgical Techniques: Employs modern vitrectomy tools with intraoperative OCT and dye-assisted visualization for maximal safety.
- Personalized Approach: Evaluates each case individually—considering factors like ERM duration, visual acuity, and patient lifestyle.
- Comprehensive Care: From diagnosis to surgery and follow-up—seamless care under expert supervision.
Book Your ERM Consultation in Andheri West, Mumbai
If you’re experiencing persistent visual distortion or reading difficulties due to ERM, early evaluation is key. Dr. Jignesh Gala at Crystal Clear Eye Clinic, Andheri West, Mumbai, is your trusted partner in restoring clarity of vision.
📅 Schedule Your Appointment Today!
📍 Crystal Clear Eye Clinic
B125, Laram Centre, Ground Floor
Behind Sunil Jewellers, S.V. Road
Andheri West Station, Mumbai
📞 Call / WhatsApp: 7718885245
👩💼 Appointment Coordinator: Mrs. Vrushali Chande
🌐 Website: crystalcleareye.in — Online booking available!
Summary: ERM (macular pucker) can distort vision, but with timely and expert vitrectomy and peeling—especially under the care of Dr. Jignesh Gala—patients in Mumbai can expect significant vision improvement and quality of life restoration.
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