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Modern approaches to the treatment of idiopathic epiretinal membrane

Abstract

DOI: 10.32364/2311-7729-2024-24-3-6

V.A. Bogdanova, R.R. Fayzrakhmanov, O.A. Pavlovskiy, E.D. Bosov

Pirogov National Medical and Surgical Center, Moscow, Russian Federation

Epiretinal membrane (ERM) is one of the most prevalent ocular pathologies. ERM has been observed in cases of uveitis, retinal detachment, and diabetic retinopathy. In some cases, however, the underlying cause cannot be determined, and the condition is classified as idiopathic. The severity of the course of ERM varies considerably, from asymptomatic to severe vision loss and metamorphopsia. The classification is based on three factors: the density of the fibrous tissue, the severity of the retinal lesions, and the associated biomicroscopic signs. The aim of this article is to review the current approaches to the management of idiopathic ERM. Currently, surgery is the only universally accepted treatment for idiopathic ERM. However, there are a number of peculiarities of surgery that significantly affect the final outcome and further prognosis. In particular, patients often have unsatisfactory postoperative recovery of visual function, which requires revision of the strategy of minimally invasive interventions and refinement depending on the pathomorphology and structural features of the retina.

Keywords: epiretinal membrane, internal limiting membrane, membrane peel, retina, vitreoretinal surgery, minimally invasive interventions.

For citation: Bogdanova V.A., Fayzrakhmanov R.R., Pavlovskiy O.A., Bosov E.D. Modern approaches to the treatment of idiopathic epiretinal membrane. Russian Journal of Clinical Ophthalmology. 2024;24(3):133–137 (in Russ.). DOI: 10.32364/2311-7729-2024-24-3-6.

About the authors:

Violetta A. Bogdanova — ophthalmologist, laboratory assistant of the Department of Eye Diseases of the Institute of Advanced Medical Education, Pirogov National Medical and Surgical Center; 70, Nizhnyaya Pervomayskaya, Moscow, 105203, Russian Federation; ORCID iD 0000-0002-0353-9074.

Rinat R. Fayzrakhmanov — Dr. Sc. (Med.), Head of the Ophthalmological Center, Head of the Department of Eye Diseases of the Institute of Advanced Medical Education, Pirogov National Medical and Surgical Center; 70, Nizhnyaya Pervomayskaya, Moscow, 105203, Russian Federation; ORCID iD 0000-0002-4341-3572.

Oleg A. Pavlovskiy — C. Sc. (Med.), ophthalmologist, associate professor of the Department of Eye Diseases of the Institute of Advanced Medical Education, Pirogov National Medical and Surgical Center; 70, Nizhnyaya Pervomayskaya, Moscow, 105203, Russian Federation; ORCID iD 0000-0003-3470-6282.

Eduard D. Bosov — ophthalmologist, postgraduate student of the Department of Eye Diseases of the Institute of Advanced Medical Education, Pirogov National Medical and Surgical Center; 70, Nizhnyaya Pervomayskaya, Moscow, 105203, Russian Federation; ORCID iD 0000-0002-9816-1763.

Contact information: Violetta A. Bogdanova, e-mail: violbogdanova@gmail.com.

Financial Disclosure: no authors have a financial or property interest in any material or method mentioned.

There is no conflict of interest.

Received 04.08.2024.

Revised 12.08.2024.

Accepted 21.08.2024.

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