Can you have cataract surgery if you have an epiretinal membrane?

Can you have cataract surgery with epiretinal membrane?

Epiretinal membrane surgery was performed in 43 of 663 (6.5%) ERM eyes. Conclusions and Relevance On average, VA improved 0.27 logMAR (approximately 3 Snellen lines) in eyes with ERM. Eyes with ERM and VA of 20/40 or less showed more benefit after cataract surgery than those with better preoperative vision.

Can cataract surgery make epiretinal membrane worse?

Patients with ERM are at higher risk for developing inflammatory changes after cataract surgery such as cystoid macular edema, neurosensory detachment and alterations of the inner-outer segment layer. However, these are not associated with any worsening of the BCVA within the first month.

Can cataract surgery make ERM worse?

Results : Following cataract surgery, ERMs remained stable in 36% of eyes and worsened in 64%. In contrast, ERMs were stable in 60% and worsened in 40% of eyes without CE (p < 0.025, Chi-square analysis).

When should you not have cataract surgery?

For example, if you have advanced macular degeneration or a detached retina as well as cataracts, it’s possible that removing the cataract and replacing it with a clear intraocular lens (IOL) might not improve your eyesight. In such cases, cataract surgery may not be recommended.

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Should I have surgery for epiretinal membrane?

Epiretinal membranes can be treated with vitrectomy surgery. However, not all epiretinal membranes require treatment. Surgery is not necessary if the epiretinal membrane is mild and having little or no effect on vision. There is no non-surgical treatment for an epiretinal membrane.

Is epiretinal membrane progressive?

Approximately 90% of epiretinal membranes do not grow or cause progressive blurring or distortion of vision. Mild epiretinal membrane is causing only minimal symptoms typically do not progressively get worse.

How long does it take to recover from epiretinal membrane?

The macular pucker surgery recovery time can vary from between three to six months. Healing occurs gradually over this time, with most people regaining about half of the vision lost from a macular pucker.

Can a vitrectomy and cataract surgery be done at the same time?

Both cataract surgery and vitrectomy surgery can be performed together as a ‘combined surgery’. Technically, there are a few additional considerations during the surgery, but this is now a commonplace operation performed by vitreoretinal surgeons who have also been trained fully in cataract surgery.

How common is epiretinal membrane surgery?

Epiretinal membranes (ERMs) most often occur in people over age 50. According to The American Society of Retina Specialists (ASRS), at least 2 percent of people over 50 years old and 20 percent over age 75 have ERMs, but most do not need treatment.

Can you drive with epiretinal membrane?

Many epiretinal membranes do not get any worse and may never affect vision, so can just be left alone. If the epiretinal membrane is affecting your sight and making everyday activities such as reading and driving difficult, it is possible to have surgery to remove the membrane.

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When is an epiretinal membrane used?

The patient’s demands regarding vision in daily life should be taken into account. Patients with moderate visual loss, recent onset of symptoms, or progression are the best candidates for ERM surgery. Functional outcome in patients with poor initial visual acuity or long-standing disease is unsatisfactory.