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Epiretinal Membrane?

Posted on 04/04/2022 4:27:07 AM PDT by LouAvul

Anyone here had the procedure to correct?

My googlefoo says 80 to 90 percent of patients experience a positive outcome. Ten to 20 percent experience no net gain.

It also says (that for the people who experience a positive outcome) that the net benefit is 35% to 54% improvement (in visual acuity).

Finally, the potential for complications of the vitrectomy seem to be high, but manageable.

Any of you ever had this? Any retinal surgeons on FR with an opinion?

Thanks.


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1 posted on 04/04/2022 4:27:07 AM PDT by LouAvul
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To: LouAvul

I have eye issues, but not this one.

My advice, FWIW: If in doubt, get a second opinion. And a good doc will be cool with that.


2 posted on 04/04/2022 4:31:03 AM PDT by mewzilla (We need to repeal RCV wherever it's in use and go back to dumb voting machines.)
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To: mewzilla
Yep. I'm getting second, and third, and fourth opinions.

I'd like to hear from someone who's actually had the procedure.

3 posted on 04/04/2022 4:36:01 AM PDT by LouAvul
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To: LouAvul

My husband had this done about five years ago. The membrane had grown to completely cover his retina, worst case scenario.

The surgery was easy and went well. The membrane had “wrinkled” his retina, and it took a few months after the surgery for this wrinkling to dissipate.

He could tell the retina was wrinkled because when he looked at the ground with his affected eye, the ground looked wavy.

Six months after the surgery he had to get cataract surgery on that eye. He was warned upfront that this was a likely.

There really was no alternative to getting the surgery done. He would have been blind in that eye without it. And I think the surgery has better results if done sooner rather than later.

Hope this helps.


4 posted on 04/04/2022 4:37:54 AM PDT by MustKnowHistory
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To: LouAvul

5 posted on 04/04/2022 4:38:54 AM PDT by Bratch
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To: MustKnowHistory

Thank you.


6 posted on 04/04/2022 4:48:03 AM PDT by LouAvul
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To: Bratch
Yes, thank you. I've seen plenty of cross sectional illustrations of the human eye.

I'm asking about the procedure to correct.

7 posted on 04/04/2022 4:49:21 AM PDT by LouAvul
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To: LouAvul

A lady at my quilting group said her husband had had eye surgery last month, and it sounded exactly like this. (She never used the clinical verbiage.) His one-month checkup was very positive and the surgery was considered a success.


8 posted on 04/04/2022 5:09:45 AM PDT by MayflowerMadam (When government fears the people, there is liberty.)
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To: LouAvul
I think I had this procedure, lol. My doc called it a macular pucker, but the search I just did seems to indicate it's the same thing. The retina specialist did the procedure, then stepped aside and our regular eye doctor took care of the cataract.

I had no complications at all, but would say that my vision improvement was at the low end of the spectrum. I had hoped for more, as I am right-eye dominant and my long distance shooting was being impacted. Still, I have no regrets at all. Hope this helps.

9 posted on 04/04/2022 5:09:51 AM PDT by deoetdoctrinae (Gun-free zones are playgrounds for criminals.)
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To: LouAvul

I’m sorry.

I posted the picture for folks like me who have never heard of the condition.

I hope for your complete recovery.


10 posted on 04/04/2022 5:11:20 AM PDT by Bratch
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To: LouAvul

If the surgery is performed well. I don’t think you will be worse off. The question is how much recovery can be expected. Vision will not return to what it was when we were younger.

With my husband, pre surgery , he could not even read which way the E was facing on the eye chart. Now he can read the letters almost to the bottom row.

He does say at night when he is tired, there is some double vision.


11 posted on 04/04/2022 5:30:50 AM PDT by MustKnowHistory
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To: LouAvul

The reason our eyes get bad as we grow older is it’s God’s way of keeping marriages strong.


12 posted on 04/04/2022 5:36:14 AM PDT by outofsalt (If history teaches us anything, it's that history rarely teaches anything.)
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To: Bratch

New to me, as well.
Thank you for posting.


13 posted on 04/04/2022 5:56:11 AM PDT by revetment
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To: revetment

I’m thinking about a vitrectomy for eye floaters which are driving me crazy, does anyone have experience with this or the YAG Laser surgery for floaters?


14 posted on 04/04/2022 6:12:15 AM PDT by chuck allen
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To: chuck allen

My husband had the YAG laser but for film on his lens (a year after cataract surgery). I didn’t know you could have YAG for floaters! I have several large floaters that are right in the middle of my eyes that make my eyes go blurry off and on every waking hour. It is so annoying and I would love to have them gone!


15 posted on 04/04/2022 6:22:18 AM PDT by JoJo354 (JUST SAY NO to covid vaxx!)
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To: LouAvul

I was very fortunate. Mine disappeared, essentially just went away over a period of about 6 months.
My doc was pretty surprised because this is something she rarely sees.


16 posted on 04/04/2022 6:23:35 AM PDT by WayneM (Two things are infinite: the universe and human stupidity; and I'm not sure about the the universe.)
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To: JoJo354

According to my research YAG is sometimes used for floaters if possible, much better/easier quicker recovery than vitrectomy if you qualify for it depending on each persons floater problem. I too had cataract surgery a year and a half ago, the floaters started immediately after riding a The Hulk roller coaster at Universal Theme Park Fla. They drive me nuts constantly, sunny days driving are the worst.


17 posted on 04/04/2022 6:32:22 AM PDT by chuck allen
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To: outofsalt

“The reason our eyes get bad as we grow older is it’s God’s way of keeping marriages strong.”

A line taken from actor Buddy Ebson to his actress “wife”.


18 posted on 04/04/2022 6:34:17 AM PDT by Does so (https://youtu.be/3PxEWB6W8ig ......Uke's Independence Day Parade. Anthem starts at 15:00)
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To: deoetdoctrinae
my vision improvement was at the low end of the spectrum. I had hoped for more, as I am right-eye dominant and my long distance shooting was being impacted

Yeah, I'm concerned about shooting. I'm left eye dominant and that happens to be the affected eye.

You say your vision improvement was at the low end of the spectrum. Was that your doctor's conclusion based upon your visual acuity score? Or is that your subjective conclusion?

Apparently the best one can hope for is a ~50% improvement. The low end is ~35% improvement. The improvement is measured in visual acuity. 20/20 vs 20/40, etc.

Then it's also the case that 10 to 20% of patients realize no improvement.

But it did improve your vision somewhat. Are you still able to shoot? Would you still have the surgery, if you had it to do over?

19 posted on 04/04/2022 6:39:28 AM PDT by LouAvul
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To: Bratch

Yeah, the picture means nothing to the average person. I looked at actual pictures of my eyes and heard the explanation but didn’t know what I was seeing. It wasn’t until I got on the computer and began researching the subject that I developed a basic understanding of ERM.


20 posted on 04/04/2022 6:42:20 AM PDT by LouAvul
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