Timing of eye surgery under the microscope: early or late?
NCT ID NCT05145491
First seen Jun 27, 2026 · Last updated Jul 17, 2026 · Updated 2 times
Summary
This study compares immediate surgery versus waiting for vision to worsen in people with an epiretinal membrane (a thin layer of scar tissue on the eye's surface). It includes 400 adults with relatively good vision (20/40 or better) who have symptoms like blurring or distortion. The goal is to see which timing leads to better vision over 3 years and to learn more about how the condition progresses.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 400 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2022
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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50 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: * Age ≥ 45 years * E-ETDRS visual acuity 20/40 or better (≥69 letters) o ERM must be thought to be the primary cause of vision loss * ERM meeting the following criteria, according to the investigator * ERM is not secondary to another condition * Symptoms of visual loss and/or distortion (in the opinion of the investigator, the ERM is contributing to the participant's symptoms); either new or worsening in the past 24 months * Epiretinal membrane involving or altering the central 3 mm of the macula on OCT * Distortion within the central subfield due to ERM on OCT * Immediate vitrectomy not required (investigator and participant are willing to wait at least 4 weeks to see if vision remains stable without having to proceed to vitrectomy) * No known medical problems that will be a contraindication to surgery Key Exclusion Criteria: * History of retinal vascular disease * History of vitreous hemorrhage if vitreous hemorrhage is thought to have caused the ERM o History of vitreous hemorrhage is permitted provided the vitreous hemorrhage did not cause the ERM in the investigator's opinion * History of inflammatory disease unless mild and completely resolved at least one year prior to randomization * History of diabetic macular edema (DME), retinal vein occlusion (RVO), or uveitis (except mild uveitis that resolved \>1 year prior to randomization) * Prior intraocular surgery (except uncomplicated cataract extraction) * Cataract extraction within prior 3 months * Laser or cryosurgical retinopexy within one month of randomization * Pneumatic retinopexy within one year of randomization * Current untreated retinal tear or detachment o A previously treated retinal tear with up to one disc diameter radius of subretinal fluid is permitted * Macular hole * Degenerative lamellar macular hole o ERM foveoschisis ("tractional" lamellar hole) is permitted * Vitreomacular traction within 1,500 microns of foveal center * Central serous chorioretinopathy * Nonproliferative diabetic retinopathy or worse (DR severity \>20)
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Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
48 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Locations
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Austin Research Center for Retina
RECRUITINGAustin, Texas, 78705, United States
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Baylor College of Medicine, Baylor Eye Physicians and Surgeons
RECRUITINGHouston, Texas, 77030, United States
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Cascade Medical Research Institute, LLC
RECRUITINGSpringfield, Oregon, 97477, United States
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East Bay Retina Consultants, Inc.
RECRUITINGOakland, California, 94609-3028, United States
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Elman Retina Group, P.A.
RECRUITINGBaltimore, Maryland, 21237, United States
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Florida Retina Institute, James A. Staman, MD, PA- Jacksonville
RECRUITINGJacksonville, Florida, 32216, United States
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Hilton Head Retina Institute
RECRUITINGHilton Head Island, South Carolina, 29926, United States
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Illinois Retina Associates SC - Oak Park Site
RECRUITINGOak Park, Illinois, 60304, United States
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Johns Hopkins University
RECRUITINGBaltimore, Maryland, 21287, United States
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Joseph E. Humble and Raymond Haik PTRS DBA Eye Assoc of Northeast Louisiana
RECRUITINGWest Monroe, Louisiana, 71291-4452, United States
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Joslin Diabetes Center
RECRUITINGBoston, Massachusetts, 02215, United States
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Kent W. Small, MD, AMC
RECRUITINGGlendale, California, 91203-1971, United States
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Loma Linda University
RECRUITINGLoma Linda, California, 92354, United States
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Macula Retina Vitreous Institute
RECRUITINGTorrance, California, 90503, United States
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Mayo Clinic Arizona
RECRUITINGScottsdale, Arizona, 85259, United States
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Mid-America Retina Consultants, P.A.
RECRUITINGOverland Park, Kansas, 66211, United States
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Northwestern University
RECRUITINGChicago, Illinois, 60611, United States
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Ophthalmology Ltd.
RECRUITINGSioux Falls, South Dakota, 57108, United States
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Pittsburg Clinical Trial Consortium
RECRUITINGSewickley, Pennsylvania, 15143, United States
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Raj K. Maturi, M.D., P.C.
RECRUITINGIndianapolis, Indiana, 46290, United States
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Regents of the University of California, Davis, DBA University of California, Davis
RECRUITINGSacramento, California, 95817, United States
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Retina Associates of Michigan
RECRUITINGGrand Blanc, Michigan, 48439, United States
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Retina Associates of Western NY, P.C.
RECRUITINGRochester, New York, 14620-4655, United States
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Retina Consultants of Texas
RECRUITINGBellaire, Texas, 77401, United States
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Retina Research Institute, LLC
RECRUITINGSt Louis, Missouri, 63128-1729, United States
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Retina Vitreous Associates, Northern California Retina Vitreous Assoc Medical Group, Inc.
RECRUITINGMountain View, California, 94040-4123, United States
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Retina Vitreous Center
RECRUITINGEdmond, Oklahoma, 73013-9791, United States
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Retina-Vitreous Consultants, Inc.
RECRUITINGMonroeville, Pennsylvania, 15146, United States
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Retina-Vitreous Surgeons of Central NY, PC
RECRUITINGLiverpool, New York, 13088, United States
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Retinal Consultants of San Antonio
RECRUITINGSan Antonio, Texas, 78240, United States
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Rush University Medical Center
RECRUITINGChicago, Illinois, 60612, United States
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SEASHORE RETINA LLC DBA Retina Specialists of Tampa
RECRUITINGWesley Chapel, Florida, 33544, United States
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Salehi Retina Institute Inc.
RECRUITINGHuntington Beach, California, 92647-8693, United States
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Sarasota Retina Institute
RECRUITINGSarasota, Florida, 34239, United States
Contact Email: •••••@•••••
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South Tyneside and Sunderland NHS Trust
RECRUITINGSunderland, Tyne and Wear, SR29HP, United Kingdom
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Southeast Retina Center, P.C.
RECRUITINGAugusta, Georgia, 30909, United States
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Spokane Eye Clinical Research, PLLC
RECRUITINGSpokane, Washington, 99204, United States
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Texas Retina Associates
RECRUITINGLubbock, Texas, 79424, United States
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The Curators of the University of Missouri
RECRUITINGColumbia, Missouri, 65201-5276, United States
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The Retina Group of Washington
RECRUITINGReston, Virginia, 20190, United States
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The Trustees of the University of Pennsylvania
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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Thomas Eye Group
RECRUITINGSandy Springs, Georgia, 30328, United States
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UIC - Department of Ophthalmology and Visual Sciences
RECRUITINGChicago, Illinois, 60612, United States
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University of Kansas Medical Center Research Institute, Inc.
RECRUITINGPrairie Village, Kansas, 66208, United States
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University of North Carolina at Chapel Hill
RECRUITINGChapel Hill, North Carolina, 27517, United States
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Valley Eye Physicians and Surgeons
RECRUITINGAyer, Massachusetts, 01432, United States
Contact Email: •••••@•••••
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Vanderbilt Eye Institute
RECRUITINGNashville, Tennessee, 37232, United States
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Verum Research LLC
RECRUITINGEugene, Oregon, 97401, United States
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