Idiopathic epiretinal membrane (iERM) is a common cause of visual impairment that can lead to distortion and disorganisation of the retinal structure. Vitrectomy has been widely used for the treatment of this disorder. During surgery, the entire vitreous is removed, and the ERM is completely peeled. The internal limiting membrane (ILM) is also peeled if there is any residual ILM at the macular surface extending to the arcades. Surgical complications such as postoperative vitreous haemorrhage, retinal detachment, and endophthalmitis are described. Postoperative cataract remains inevitable.
In terms of postoperative complications, the potential recurrence of ERM remains a primary concern. It was disclosed that the neighbouring remnant membrane and hyperreflective dots on the retinal surface and postoperative inner retinal wrinkling persisting for over 1 month were predisposing OCT findings for ERM recurrence. In some reported series, the recurrence rate with varying degrees of severity reached 84.4%.
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Published on: Jul 30, 2026 Pages: 24-41
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DOI: 10.17352/2455-1414.000114
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