I will perform an angiogram if doesn't have anything just obsevation

If patient is recently symptomatic attributable to the ERM, vitrectomy with ERM / ILM peel. If not symptomatic or if worried about vision being 6/9, I will review in a month, repeat OCT and decide. If there is a component of edema due to leakage from microaneuyrsms / diffuse leakage anti-VEGF can be considered

i would prefer to do angiography to look for cause of edema. If leak either leaking aneyrsym or diffuse edema is seen , would prefer to laser as thickness is not much. It is not easy to peel membrane in a diabetic patient along with compromised underlying retina. So until patient complains of recent drop in vision / tractional macular edema on OCT, its better to watch closely. I also prefer to take corrected near vision which gives better idea of patient morbidity

if its just a cellophane maculopathy in a diabetic patient it is most the consequence of the muller cells reaction to hyperglycemia than the really cause of the edema, I usually perform an angiography looking for macular or periferic ischemia, if there is macular ischemia i don't, use anti VEGF, i prefer steroids (if the visual acuity is less than 20/40), in periferic ischemic retinopathy I do laser, if there is a focal point of edema i do focal laser.

additional i usually refer the patient to the Internal Medicine specialist to optimize arterial tension, glucose control, consider the use of statins, and in some case consider the use of doxicicline,

At the same time with specific general antisyphilitic therapy for ME is indicated topical nonsteroid antiinflamatory drops - voltarene ( diclophenac) indomethacine, etc. and PredForte , each four times dayli 1- 3 months, if not enough after 1 mo add Diamox oral or topical, if no response -Diprospan subtenonian injection or IV TA control of IOP

If the patient is asymptomatic then you need to keep him under observation.Patient to keep systemic parameters under control. NSAIDs can be started . Follow up monthly and if stable three monthly