Performed by Dr. Dasari Keerthi Kumar at Harsha Sai Eye Hospital
Epiretinal Membrane Peeling in Nizamabad is a microsurgical procedure to remove scar tissue from the retinal surface that causes vision distortion and blurriness. This delicate vitreoretinal surgery involves removing the thin, transparent membrane that has formed over the macula, allowing the retina to flatten and vision to improve. Dr. Keerthi Kumar at Harsha Sai Eye Hospital performs this advanced procedure using state-of-the-art vitrectomy techniques.
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A step-by-step look at what happens during this procedure.
The surgeon creates tiny incisions in the sclera and performs a core vitrectomy, removing the gel-like vitreous humor from the eye to access the retinal surface clearly.
Using high-magnification surgical microscopes and specialized lighting, the surgeon identifies the epiretinal membrane on the macular surface and assesses its thickness and adhesion.
Microscopic forceps are used to carefully grasp and peel away the epiretinal membrane from the retinal surface, working meticulously to avoid damaging the underlying retina.
In some cases, the surgeon may also remove the internal limiting membrane (ILM) to reduce the risk of membrane recurrence and optimize visual outcomes.
The vitreous cavity may be filled with balanced salt solution or gas, incisions are self-sealing or sutured if needed, and antibiotic drops are administered to prevent infection.
A structured, patient-first approach from first consultation to full recovery.
At Harsha Sai Eye Hospital, we utilize optical coherence tomography (OCT) and fundus photography to precisely map the epiretinal membrane, assess macular thickness, and determine the optimal surgical approach for each patient.
Dr. Keerthi Kumar employs the latest microincisional vitrectomy surgery (MIVS) techniques with 25-gauge or 27-gauge instrumentation, ensuring minimal trauma, faster healing, and reduced post-operative discomfort.
Our comprehensive follow-up protocol includes detailed positioning instructions, customized medication schedules, and regular monitoring with OCT scans to track retinal recovery and visual improvement.
We provide continued support with scheduled check-ups at 1 week, 1 month, 3 months, and 6 months post-surgery, monitoring for complications and ensuring optimal visual rehabilitation through the recovery period.
What to expect at each stage of your recovery journey.
Patients experience blurred vision, mild discomfort, and redness. Eye drops are administered multiple times daily. Specific head positioning may be required if gas bubble was used. Avoid strenuous activities and follow all positioning instructions carefully.
Vision gradually begins to clear as the retina settles. Floaters may persist but typically diminish over time. Continue prescribed medications and attend scheduled follow-ups. Light activities can be resumed with doctor approval.
Most visual improvement occurs during this period as the macula heals and flattens. Patients notice reduced distortion and improved clarity. Regular monitoring ensures proper healing and identifies any complications early for prompt management.
Most patients experience significant improvement in vision clarity, with 60-80% achieving two or more lines of improvement on the visual acuity chart within 3-6 months post-surgery.
Metamorphopsia and image distortion typically decrease substantially after membrane removal, allowing patients to see straight lines clearly and read more comfortably without wavy or crooked perception.
Patients report improved ability to perform daily tasks such as reading, driving, recognizing faces, and engaging in hobbies that require detailed vision, significantly enhancing independence and life satisfaction.
The recurrence of epiretinal membranes after surgical removal is relatively low, occurring in approximately 5-10% of cases, with most patients enjoying long-term stable vision improvement.
Let's clear up some of the most common myths about epiretinal membrane peeling (erm-peeling).
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