What clinical or OCT-based parameters guide your decision to perform an ERM peel in patients with DME and concurrent ERM?

The presence of an ERM in a patient with DME negatively impacts the response to anti-VEGF injections and reduces the efficacy of the injections. The ERM acts as a physical barrier, reducing drug penetration, and can also contribute to the progression and persistence of DME through the production of ...

Clinical or OCT-based parameters? Well, clinical parameters are pretty much the same as for anything else: is it likely to do the patient any good? The usual factors for ERMs hold for concurrent DME as well: duration of the membrane and correlation with durations of symptoms. Is retinal distortion c...