Epiretinal membrane

ERM = abnormal fibrocellular proliferation on the surface of the ILM after anomalous PVD.


  • No gender preference
  • Prevalence: 10% average
  • Bilateral incidence: 15% average


  1. Idiopathic – from PVD.
  2. RD
  3. Vascular occlusion
  4. Uveitis
  5. Trauma
  6. Intraocular surgery
  7. Intraocular tumours

Symptoms: Asymptomatic or distortion or blurred vision (if a/w lamellar macular hole or macular oedema.

Investigation: OCT macula


  1. Observation
  2. Pars plana vitrectomy + epiretinal membrane peel +/- internal limiting membrane peel +/- air/gas

Interesting points:

  • Known by many terms – epimacular membrane, macular pucker, cellophane maculopathy.
  • OCT based classification (Konidaris et al. 2015)
Image courtesy of asrs.org

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Location Birmingham Midlands Eye Centre 76 Dudley Road Birmingham B18 7QH UK Phone 0121 554 3801 Hours Mr Ch'ng | Vitreoretinal Clinic Sessions: Monday: 8.30am - 12.30pm Wednesday (alternate): 8.30am - 5.00pm Thursday: 8.30am - 12.30pm Friday: 8.30am - 12.30pm | Vitreoretinal Theatre Sessions: Wednesday (alternate): 8.30am - 5.00pm & Friday (emergency cases): 1.30pm - 5.00pm | Eye Casualty Session: Monday 1.00pm - 4.30pm |
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