Epiretinal Membrane?

General

Hi all.

I recently had an examination wherein the optometrist found what he called a "membrane" - from my googling later on it seems to be an epiretinal membrane although he never specifically used that term.

During the slit-lamp examination he didn't seem to notice it - it wasn't seen until he looked at the camera images (a whitish region was visible), at which point he gave me an OCT to confirm. It is outside the macula area, my (corrected) vision is fine with no noticeable distortion, and my prescription has been effectively stable for about 5 years.

I think he was a little surprised to find it given my age (30) but otherwise didn't seem to be too concerned beyond giving me an Amsler grid to periodically check and recommending more frequent follow-up exams with OCT scans. My suspicion is that it could have been there for a long time, since this was my first ever camera/OCT based exam (hooray for rural living).

I'm just generally curious about how commonly these are "incidental findings" and whether or not it's likely to change/progress?

Cheers

Posted Jul 4, 2020, 2:36 PM UTC

16
coltsblazersOptometrist•

We see them all the time, especially patchy small ones outside of the macular region. They’re generally not concerning in an urgent sense so watching them for progression is a fine way to monitor.

Given your younger and have one more frequent monitoring is beneficial than if you had a small patch at say... 60. You have longer in life for it to grow and change.

1
missing404OP•

thanks for the info!

1
WILDcard_ODO.D.•

It honestly wouldn’t be a terrible idea to get dilated and make sure you don’t have any retinal holes or tears. It’s still unlikely but I went to a continuing education last year where a retinal surgeon mentioned regularly finding small holes or tears in patients with ERMs based on their appearance. Obviously I don’t know what your ERM looks like but if you want to just cover all your bases, it wouldn’t hurt 🤷🏼‍♂️. But yes they are very common and seen all the time in patients over 50 and sometimes younger.

1
missing404OP•

Appreciate the advice.

is that different from the usual dilation exam they do? They took a second look after the OCT and said everything else looked fine.

1
WILDcard_ODO.D.•

No if he actually dilated your eyes with drops and put on a headset with light and held a big round lens, about 1.5-2 inches in diameter, up to your eye then you should be good 👍🏻

1
missing404OP•

Yep, that's what he did. good to know. I'll just be on the lookout for anything unusual in my vision.

Thanks!

2