An epiretinal membrane is a thin layer of scar tissue that forms on the surface of the retina. While it may cause vision changes, treatments are available to improve clarity and reduce distortion.
An epiretinal membrane (ERM), sometimes called a “macular pucker,” is a thin sheet of fibrous tissue that grows across the surface of the macula — the central part of the retina responsible for detailed vision.
The membrane can contract and distort the macula, leading to blurred or wavy vision. ERMs are most often age-related but can also develop after retinal tears, detachments, or eye surgery.
Some patients may have an ERM without symptoms, discovered only during an eye exam.
Symptoms may vary from mild to more noticeable and can include:
Eye specialists diagnose ERM through:
Allows the retina to be examined directly.
High-resolution imaging that shows the thickness and distortion of the macula.
Assess how well central vision is functioning.
Treatment depends on severity and symptoms:
If symptoms are mild, regular monitoring may be recommended.
Can help maximize remaining vision.
The most effective treatment for significant vision distortion, where the scar tissue is carefully removed to improve clarity.
Patients with ERM may live with mild distortion for years without needing surgery. Helpful steps include:
If you are experiencing blurred or distorted central vision, or have been diagnosed with an epiretinal membrane, speak with your current eye care provider. If specialized care is needed, they can coordinate a referral to our team.
