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

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My mother is 59-years-old. Her height 5'2 and weight is 145.5 pounds. She has ERM in eyes, and so, she is not able to see correctly. She has done the OCT test twice this year. ERM is observed in both eyes. ILM RPE central subfield thickness is 387. Cube volume is 12.1. Cube average thickness is 338. Kindly help.

Hello,

Welcome to icliniq.com.

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

Aging.

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.

Medically reviewed byDr. Nithila. A

Published At September 17, 2019
Reviewed AtJuly 21, 2023

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