Abstract
Epiretinal macular membranes can cause a lowering of visual acuity and may even lead to a total loss of foveal function in the absence of surgical procedure. The only surgical treatment is vitreo-retinal surgery with peeling of the membrane. In Geneva, we studied 23 patients, all of whom were operated for epiretinal membrane even though visual acuity was greater as 0.2, 10 membranes were idiopathic et 13 secondary. Six patients from this second group had recently undergone cataract surgery. The results were good: 83% of the patients showed an improvement in post-operative visual acuity and 60% gained 2 or more lines on the Snellen scale. The main factors for prognosis were preoperative macular cystoid edema and duration before surgery. The principal post-operative complication encountered was a secondary opacification of the lens with, to a lesser extent, cystoid edema of the macula.
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