Diagnose My Retinal Photo: Epiretinal Membrane7:00 AM
Can you spot the problem?
|Photo by Dr. L of Eyedolatry|
|OCT of an Epiretinal Membrane (not of the patient above) showing|
significant disruption to the macula via
What to Look For
With today's technology, membranes are easy to spot because they cause a shiny reflective area in a retinal photograph or when viewed by your doctor inside the eye. If you have a membrane, you may or may not experience vision changes. Membranes can cause symptoms that range from blurry vision to various vision distortions, or they may not have any visual side effect at all. In the patient above, vision was a perfect 20/20 and they reported no visual distortion in daily life or on Amsler Grid testing.
Epiretinal Membrane Peel requires the surgeon to remove
the membrane without disrupting the underlying
tissue with extreme surgical skill via
The good news -- most epiretinal membranes require no treatment other than observation. Your doctor will likely recommend OCT imaging to find any fluid under the macula or an impending r macular hole that could pose a bigger risk to vision. Many membranes either resolve on their own, or stay stable with time. If vision is significantly reduced (20/50 or worse as a general rule of thumb), your doctor may refer you to a retinal specialist for a procedure called a membrane peel. Membrane peels are not to be undertaken lightly -- there is a risk of retinal detachment with any retinal surgery. But if vision is compromised too much due to the membrane, typical visual outcome after a membrane peel is a gain of 2 or 3 Snellen lines of acuity. An alternative to epiretinal membrane peel is injection of Jetrea, but potential side effects are also present with injection of this medication.