Epiretinal Membrane Surgery


“The eyes are the windows to the soul” is an expression that is often used todescribe the deep connection one feels when looking into another’s eyes. However, like windows, the eyes work both ways. They are not only important in seeing into another person’s soul, but they are also vital in how we view the world around us. Sight and vision are important because they allow us to connect with our surroundings, keep us safe, and help maintain the sharpness of our minds.It is important to have a comprehensive eye exam to ensure that your eyes are healthy. Common eye diseases such as glaucoma, age related macular degeneration, diabetic eye disease and early cataracts often have no symptoms at the early or even moderate stages. Early diagnosis and treatment can be very important.

The goal of any eye surgery is to allow you to keep optimal vision your entire life. Many diseases require correct diagnosis and treatment at early stages to help prevent vision loss in the future. AakashSuper Speciality Hospital is one of the city's modern nursing home.It is uniquely designed to deliver high quality health care with a personalized care at affordable prices.The personnel touch of our dedicated &caring team elevates the standard of health care services at each step. Quality is scrutinized &enhanced in all aspects of patient care. At Aakash, we offer state of heart facilities to treat several diseases, including eye diseases.

What is epiretinal membrane surgery?

An epiretinal membrane is a very thin layer of fibrous tissue that can form on the surface of your retina (the focusing surface at the back of your eye). It acts like a film over your macula (the sharp focusing area of the retina) through which it is harder for you to see. In severe cases, the epiretinal membrane may contract like scar tissue, ‘puckering’ the retina and distorting your vision even further.The surgery consists of a vitrectomy (the removal of vitreous gel) and the peeling of the epiretinal membrane. This is then followed by the peeling of the inner limiting membrane (ILM), with the entire procedure performed using small 25 (or 27) gauge implements to ensure no stitches are necessary.

What does the procedure involve?

Using highly specialised instruments, your surgeon will remove the vitreous gel from your eye, and replace it with a special saline solution.Your surgeon will restore your normal vision by carefully detaching the epiretinal membrane from the surface of your maculaa.Before your surgery, you’ll be given a local anaesthetic to numb your eye so you don’t feel any pain. Your surgeon will use the latest ‘no-stitch’ surgical techniques to make tiny incisions in the white of your eye. This type of surgery means your eye will heal faster, and you should feel virtually no irritation after surgery.Your eye may also be treated with steroids or air, and laser or freezing treatments, depending on the exact situation.

What happens after the surgery?

After the surgery you will have an eye shield placed on your eye. Do not remove this shield until we see you in the clinic the following day when we will remove it for you. You will be given instructions on which eye drops to use and all your restrictions at this time. You do not need to use any eye drops the night after surgery. Most patients have minimal discomfort after surgery. If you have some pain, take Acetaminophen (Tylenol). Avoid Aspirin or Ibuprofen as this can increase your risk of bleeding. Following epiretinal membrane removal, the vision is typically more blurred and will gradually improve as the eye and retina heal. Vision can gradually improve up to 3-6 months following surgery.

Are there any risks involved?

There are several risks associated with epiretinal membrane surgery that you need to be fully aware prior to electing to proceed with surgery. The most common are as follows:

  • 1 in 1000 risk of infection (endophthalmitis)
  • 1 in 1000 risk of bleeding
  • 5% risk of retinal tear or detachment
  • Progression of cataract

How can one avoid any post-operative complications?

While any air remains in your eye after the operation (approximately one week), you must not go on an airplane or travel to any high altitude locations. If you do, this can make the bubble in your eye expand and cause the pressure in your eye to rise, leading to significant harm and pain. For similar reasons, if you require any general anaesthetic following your macular pucker surgery, it’s important to let the anaesthetist know that there may be air in your eye.To avoid complications, it’s recommended you wear the shield you’re provided with while you sleep. This shield is specially designed to prevent pressure being placed on the eye, such as accidentally rubbing it while you are sleeping.


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