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Epiretinal Membrane:

(also known as Cellophane Maculopathy, Macular Pucker)

An epiretinal membrane is a thin, almost transparent layer of fibrous cellular material which grows over the surface of the retina. Like a layer of plastic wrap or cellophane, it can be basically transparent, but in some cases contracture of this thin fibrous tissue can cause wrinkling of the retina, like wrinkles on a bedspread. If the vision is decreased (each case may be different), Drs. Greve and Hinz may recommend surgical intervention.

Surgery involves removal of the vitreous (a vitrectomy), and peeling (surgical stripping this thin fibrous tissue) of the epiretinal membrane. As well sometimes and intraocular gas bubble is used with post-operative face down positioning to flatten the macula (the area of the retina that is affected by the epiretinal membrane).

These photos show a pre-operative and post-operative example.

 

Pre-Operative:

Note the sheen of the retinal surface and the distortion of the retinal vessels. Vision was 20/80
 

Post-Operative:

Note the straightening of the retinal vessels and restoration of a normal macula appearance. Vision was now 20/30

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Copyright © 1998 Alberta Retina Consultants
Last modified: August 30, 1998

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