In whom and how does ERM occur?
The yellow spot called the macula is at the middle of the retina layer and is the most important point where the visual function occurs. Visual functions such as driving and reading occur thanks to the macular region. The most important reason for the formation of the membrane we call ERM is old age. In other words, as we age, a thin membrane forms in the macular area as a result of the changes that occur on the surface of the retina and in the eye jelly called vitreous. ERM, which can be seen in every healthy individual after the age of 40, is seen in 2% at the age of 50 and in 20% at the age of 70. It is usually unilateral and in 10% of cases it is bilateral.
What are the other diseases that cause ERM?
As we mentioned above, the most common cause of ERM is old age. After old age, ERM occurs most frequently in DIABETIC RETINOPATHY due to diabetes. Both diabetic retinopathy itself and the ARGON LASER treatment used in the treatment cause ERM. Additionally, ERM may occur in YELLOW SPOT disease and UVEIT diseases. The laser used in the treatment of retinal tears may also cause ERM.
What kind of complaints does ERM cause?
Since ERM usually progresses slowly in one eye and the other eye is intact. It does not cause any symptoms until the last moment and is only noticed randomly during routine eye examination. As the disease progresses, close reading functions deteriorate. Over time, metamorphopsia (seeing objects as crooked), macropsia (seeing objects as larger than they are) and micropsia (seeing objects as smaller than they are) occur. Since this disease progresses slowly and the other eye is healthy, it would be beneficial for everyone after the age of 50 to close one eye once a month and read the subtitles of the television with one eye, with the other eye, for early diagnosis.
How is ERM diagnosed?
In every patient with suspected ERM, visual acuity should first be checked and a dilated retina examination should be performed.
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