Retina Center of OklahomaMacular pucker or epiretinal membrane (ERM) or vitreomacular traction (VMT)
Subtle microscopic scar tissue may develop on the retina, either independently or attached to the vitreous gel. This scar tissue may or may not anatomically affect the macula, or center of the retina. Many configurations of macular pucker/epiretinal membrane/vitreomacular traction may stay stable for a very long time. In these cases the patient can be monitored a couple times a year. If the configuration changes surgery can be considered. The patient can also self-monitor with an Amsler Grid.
In other patients the configuration may be unstable and prone to central vision loss, or the patient may have already lost significant central vision. In these patients, surgery may be considered.