Our Summary

This research paper is about a common eye disease called Epiretinal Membrane (ERM), which occurs when cells grow excessively and form a fibrous layer on the inner surface of the retina. This disease usually occurs on its own, but can also be a result of other eye diseases. Most ERMs don’t cause symptoms or only cause mild vision distortion. However, some can lead to severe distortion of the macula (the part of the eye responsible for our sharp, central vision) and fluid accumulation, which can greatly impair vision. The only treatment for ERM is surgical removal. Advances in eye surgery systems have made this treatment less invasive. But, there’s no standard guidance on when to perform this surgery - it’s usually based on the patient’s reported symptoms. Another challenge is that not all patients experience satisfactory vision recovery after surgery. The study calls for more research to establish guidelines for when to perform ERM surgery and how to improve vision recovery after surgery.

FAQs

  1. What is Epiretinal Membrane (ERM) and how does it affect vision?
  2. What is the only treatment currently available for ERM and how effective is it?
  3. What are the challenges in treating ERM according to the research paper?

Doctor’s Tip

After a vitrectomy procedure, it is important to follow your doctor’s instructions for post-operative care, including using prescribed eye drops, avoiding strenuous activities, and attending follow-up appointments. Be sure to report any changes in vision or any unusual symptoms to your doctor promptly. It is also important to protect your eyes from injury and to maintain good overall eye health through regular eye exams and a healthy lifestyle.

Suitable For

Patients who are typically recommended vitrectomy for Epiretinal Membrane (ERM) include those who are experiencing severe distortion of the macula and fluid accumulation, which greatly impairs vision. These patients may have symptoms such as significant vision distortion or loss, difficulty reading or recognizing faces, and problems with daily activities due to poor vision. Additionally, patients who do not see improvement in their vision with other treatments or who have a high risk of vision loss may also be recommended for vitrectomy surgery.

It is important for patients to undergo a thorough evaluation by an ophthalmologist to determine if vitrectomy is the best treatment option for their specific case of ERM. The decision to undergo surgery should be made in collaboration with the patient’s healthcare team, taking into consideration the potential risks and benefits of the procedure.

Timeline

Before vitrectomy:

  1. Patient notices symptoms such as blurry or distorted vision, particularly in the central part of their vision.
  2. Patient seeks medical attention and is diagnosed with Epiretinal Membrane (ERM) through a comprehensive eye exam.
  3. Patient discusses treatment options with their eye care provider, including the possibility of vitrectomy surgery.
  4. Patient undergoes pre-operative assessments and tests to determine if they are a suitable candidate for vitrectomy surgery.

After vitrectomy:

  1. Patient undergoes vitrectomy surgery, during which the surgeon removes the fibrous layer on the inner surface of the retina.
  2. Patient may experience some discomfort and blurry vision immediately after surgery.
  3. Patient is monitored closely by their eye care provider in the days and weeks following surgery to ensure proper healing.
  4. Patient may need to follow specific post-operative care instructions, such as using eye drops and avoiding strenuous activities.
  5. Patient gradually experiences improved vision as the eye heals and the retina adjusts to its new state.
  6. Patient attends follow-up appointments with their eye care provider to monitor their progress and address any concerns or complications.
  7. Patient may need additional interventions or treatments if vision does not fully recover after surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with vitrectomy surgery for Epiretinal Membrane (ERM)?
  2. How long is the recovery process after vitrectomy surgery for ERM?
  3. What are the success rates for vision improvement after vitrectomy surgery for ERM?
  4. Are there any alternative treatments or therapies available for ERM besides vitrectomy surgery?
  5. How will my vision be affected post-surgery and what can I expect in terms of visual improvement?
  6. How many surgeries have you performed for ERM and what is your success rate?
  7. What is the likelihood of the ERM recurring after surgery?
  8. Will I need to follow any special post-operative care instructions to optimize my recovery and vision outcomes?
  9. How long do the effects of vitrectomy surgery for ERM typically last?
  10. Are there any long-term implications or considerations I should be aware of after undergoing vitrectomy surgery for ERM?

Reference

Authors: Matoba R, Morizane Y. Journal: Acta Med Okayama. 2021 Aug;75(4):403-413. doi: 10.18926/AMO/62378. PMID: 34511606