Retina and Uveitis Center | Macular Degeneration, Macular Edema and Artificial Iris

Epiretinal Membrane / Macular Pucker

Epiretinal membranes (ERM), also commonly known as cellophane maculopathy or macular puckers, are semitranslucent membranes that form on the inner surface of the central portion of the retina and result in development of wrinkles, creases, or bulges.

As a common disorder, the condition typically affects older adults. They most commonly cause minimal symptoms and can simply be observed, but in some cases, they can result in blurry vision and metamorphopsia (visual distortion). 


  • Age
  • Posterior vitreous detachment
  • Retinal tear(s) or detachment
  • Retinal vascular diseases, such as diabetic retinopathy or venous occlusive disease
  • Previous eye injury
  • Intraocular (inside the eye) inflammation (uveitis)


Although an epiretinal membrane (ERM) can affect one’s vision to varying degrees, after the first few months of development, it doesn’t always progress or worsen. Since most ERMs are fairly stable after an initial period of growth, they can simply be monitored as long as they are not affecting vision significantly. However, if an exam shows progression and/or functional worsening in vision, surgical intervention may be recommended.

People having trouble reading, driving, and performing other central vision tasks due to an epiretinal membrane (ERM) may benefit from a vitrectomy and membrane peel surgery.


Remember, distorted and blurry vision are characteristic of several vision disorders. If you experience these symptoms, it’s best to contact our office for a timely evaluation and management.

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Retina and Uveitis Center | Dislocated IOL, Retinal Tear and Lucentis