ERM: Fibrocellular proliferation on the inner retinal surface (ILM) causing macular pucker, thickening, and distortion.
Indications for surgery:
Symptomatic metamorphopsia, decreased VA (e.g., ≤20/40–20/60), tractional distortion on OCT.
Surgical Approach (Often with PPV)
1. 25/27-g PPV
2. Stain with Brilliant Blue G (BBG) ± ICG (use