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Q. What is the treatment for ERM in a 59-year-old?

Answered by
Dr. Prashant Koranmath
and medically reviewed by Dr.Nithila A
This is a premium question & answer published on Sep 17, 2019

Hello doctor,

My mother is 59-years-old. Her height 5'2 and weight 66. She has ERM in eyes, and so, she is not able to see correctly. She has done the OCT test twice this year.

1. Observed ERM in both eyes.

2. ILM RPE central subfield thickness is 387.

3. Cube volume is 12.1.

4. Cube average thickness is 338.

Dr. Prashant Koranmath

Ophthalmology (Eye Care)


Welcome to

She has problem in macular region in which there is decreased vision mostly central vision. Epiretinal membrane has thickened on the retina. Most cases improve on medication. Of vision is degrading. It has to be surgically corrected by doing vitrectomy intraretinal membrane peeling, where the inner gelly like substance is removed and the thickened membrane on retina which is causing problem is peeled off. The vision improves gradually.

The Probable causes:


Investigations to be done:

Amsler grid, Oct (optical coherence tomography), FA (Fluorescein angiography).

Differential diagnosis:

Macular hope, macular oedema, parafoveal telengiectasia.

Probable diagnosis:

Macular pucker.

Treatment plan:

Vitrectomy and ILM (intraretinal membrane) peeling.

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