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Close-up of human eye illustrating vision distortion caused by epiretinal membrane (macular pucker) - Retina Consultants, P.C.
Epiretinal Membrane (Macular Pucker)
Home » Epiretinal Membrane (Macular Pucker)

Epiretinal Membrane Treatment in Connecticut: Restoring Clear, Stable Vision

Epiretinal membrane (ERM) is also known as cellophane maculopathy or macular puckers. ERMs are thin, transparent layers of scar tissue that form on the central area of the retina (macula). They are caused by trauma, inflammation, and degeneration, and can affect your vision without proper treatment.

As your leading retina specialist in Connecticut, Retina Consultants, P.C. proudly offers treatment for complex retinal conditions, including macular puckers. Visit any of our offices in Hartford, Cromwell, Farmington, Enfield, and Manchester, and experience the best-in-class retinal care rooted in excellence, innovation, and patient care.

What is epiretinal membrane (ERM)?

The macula is a part of the retina responsible for central vision. Rarely, scar tissue can form over the surface of the macula, causing wrinkling or swelling. This is referred to as an epiretinal membrane or macular pucker, which can lead to:

  • Blurry vision
  • Wavy lines or distorted vision (metamorphopsia)
  • Difficulty reading fine print
  • Trouble recognizing faces
  • Double vision

Most patients have no obvious symptoms (asymptomatic), and they are often diagnosed incidentally during routine retinal exams. However, the absence of symptoms doesn’t mean you are safe. ERMs can progress slowly, leading to vision distortion or loss.

Eye chart examination illustrating difficulty reading fine print caused by epiretinal membrane (macular pucker) - Retina Consultants, P.C.

Why do I have an epiretinal membrane?

The most common cause of ERMs is age-related degeneration of the vitreous gel, which can cause it to separate from the retina (posterior vitreous detachment). In some cases, macular puckers are associated with conditions, such as:

  • Diabetic retinopathy
  • Retinal detachment
  • Inflammation
  • Ocular injuries or surgery
  • Venous occlusive disease

Macular puckers are not related to macular degeneration. They also do not affect the other eye and affect both males and females equally.

How do you treat macular puckers?

Not every ERM requires immediate treatment. If your symptoms are mild and non-progressive, your doctor may monitor your condition. However, severe ERMs that are progressive and distort your vision need treatment. The goal is to restore clearer, more stable vision.

Surgery is the most effective treatment for symptomatic ERMs. We achieve this through vitrectomy, in which the doctor uses specialized instruments to remove the vitreous gel. The membrane itself is then carefully peeled away from the retina with delicate forceps. Vitrectomy is a highly delicate procedure, and precision is everything. That’s why choosing an experienced retina specialist matters.

Removing the vitreous gel doesn’t affect the function of your eye. Visual recovery is gradual, though many experience improvements within 3 months, and visual acuity continues to improve for up to 1 year.

Why does a retinal specialist matter?

The retina is one of the most delicate and complex structures in the body. Treating it requires advanced training, steady hands, and the right technology. That’s why our board-certified specialists have undergone more than 10 years of training, including a two-year vitreo-retinal medical and surgical fellowship to fully understand and treat this intricate part of the eye. Whether facing a complex or non-complex retinal condition, there is no job too small or too big for our vitreoretinal doctors.

Do you need macular pucker surgery in Connecticut?

If your vision looks wavy, blurry, or slightly distorted, you’re not imagining it. These changes can be caused by an epiretinal membrane. It may sound concerning, but the right care can help restore your vision and quality of life.

At Retina Consultants, P.C., we combine decades of expertise with advanced treatment techniques to deliver the highest level of care. If you need macular pucker surgery or other retinal procedure, you are in the right hands. Call us at:

Hartford

Hartford

Manchester

Manchester

Cromwell

Cromwell

Farmington

Farmington

Enfield

Enfield

Trust your vision to experts.

Our Doctors

Tavish Nanda M.D.

Tavish Nanda, M.D.

Hartford / Manchester / Enfield / Farmington

Noam Rudnick, M.D., Ph.D.

Noam Rudnick, M.D., Ph.D.

Hartford / Manchester / Farmington

Greg Budoff M.D.

Greg Budoff, M.D.

Cromwell / Enfield / Farmington

Scott Walter, M.D. M.Sc

Scott Walter, M.D. M.Sc

Hartford / Farmington / Cromwell

Ron Margolis, M.D.

Ron Margolis, M.D.

Manchester / Farmington / Enfield / Cromwell

Luis Martinez, M.D., Ph.D.

Luis Martinez, M.D., Ph.D.

Hartford / Manchester / Cromwell

The physicians of Retina Consultants, P.C. are a team of board-certified and fellowship-trained retina specialists dedicated exclusively to the diagnosis and treatment of retinal and vitreoretinal diseases. As the only retina-focused practice in central Connecticut, the group provides expert care to patients throughout Hartford, Manchester, Cromwell, Enfield, and Farmington.

Each specialist has completed advanced fellowship training in medical retina and vitreoretinal surgery, equipping them to manage both routine and complex retinal conditions, including macular degeneration, diabetic retinopathy, retinal detachments, macular holes, and ocular tumors. The team combines extensive clinical experience with the latest diagnostic imaging, in-office treatments, and advanced surgical techniques.

With decades of combined experience and one of the highest vitreoretinal surgical volumes in the region, Retina Consultants, P.C. is recognized for delivering evidence-based, patient-centered care, timely access for urgent conditions, and trusted second opinions. Their commitment to excellence ensures patients receive the highest standard of specialized retinal care close to home.

Affiliations & Memberships

Hartford HealthCare
UCONN School of Medicine
Connecticut Children Medical Centre
Trinity Health Of New England
Eastern Connecticut Health Network
Quinnipiac University

Awards and Recognitions

Top U.S. News Doctor
Best Doctors
Castle Cannoly
Consumers' Research Council of America (CRCA)

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