---
title: Is cataract surgery suitable if you have epiretinal membrane?
description: "Cataract surgery can be suitable with an epiretinal membrane, but visual improvement may be limited by macular distortion. ## When cataract surgery alone may be enough Some membranes are mild and stable. - Mild epiretinal membrane with relatively preserved macular…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-cataract-surgery-suitable-if-you-have-epiretinal-membrane/"
updated: "2025-12-24"
category: Suitability
---

# Is cataract surgery suitable if you have epiretinal membrane?

Cataract surgery can be suitable with an epiretinal membrane, but visual improvement may be limited by macular distortion.

## When cataract surgery alone may be enough

Some membranes are mild and stable.

- Mild epiretinal membrane with relatively preserved macular structure
- Blur or glare mainly explained by cataract on examination
- Desire to improve focus and light transmission before considering membrane surgery
- Regular OCT monitoring to track any membrane progression
- Use of monofocal lenses to maximise clarity and contrast

## When combined or staged surgery is considered

More marked membranes may need vitrectomy.

- Significant distortion, wavy lines, or reduced best‑corrected vision
- Decision with a retinal surgeon about combined cataract-vitrectomy
- Explanation that even with surgery, some distortion can remain
- Awareness of slightly higher risk of postoperative macular oedema
- Individualised plan for timing and sequence of procedures
