Macular Pucker Treatment

If you’ve been diagnosed with a macular pucker, also known as an epiretinal membrane or wrinkled retina, our specialized treatment can help restore your vision. At the Center for Retina and Macular Disease, we offer surgical options designed to remove the scar tissue causing the distortion and improve your central vision.
What is a Macular Pucker Image

What is a Macular Pucker?

A macular pucker occurs when a thin layer of scar tissue forms on the surface of the retina, particularly in the macula—the central part of the retina responsible for your clearest and sharpest vision. This scar tissue can shrink over time, leading to wrinkling or distortion of the retina in the macular area, which can result in distorted central vision and other vision problems. This condition can be associated with the natural aging process or develop after a retinal tear, retinal detachment, or other eye conditions, such as macular degeneration.

Symptoms of a Macular Pucker Can Include:

  • Vision that appears to be “wrinkled” or “bunched up”
  • Blurred or distorted central vision
  • Difficulty reading small print
  • Straight lines appearing wavy or crooked
  • Trouble recognizing faces
  • Decreased sharpness of vision
  • Difficulty seeing fine details
Symptoms of a Macular Pucker
Common Causes and Risk Factors

Common Causes and Risk
Factors

Some common causes of a macular pucker include:

  • Scar tissue on the surface of the retina, formed as a result of the natural aging process
  • The vitreous gel inside the eye pulling away from the retina
  • Previous retinal surgery, eye injuries, retinal tear, or inflammation
  • Age-related macular degeneration

Benefits of Receiving Treatment

There are many benefits to receiving treatment for a macular pucker, including:

  • Improved central vision
  • Enhanced ability to perform daily activities, such as reading and driving
  • Reduction in visual distortion and blurriness
  • Stabilization of vision to prevent further deterioration or severe vision loss
BReceiving Treatment Benefits Image
Candidate for Macular Pucker

Are You a Candidate for
Macular Pucker Treatment?

You might be a candidate for macular pucker treatment if you have been diagnosed with:

  • Significant vision impairment due to a macular pucker
  • Distortion in your vision that interferes with daily tasks
  • A wrinkled or distorted appearance in your central vision
  • Associated conditions such as a retinal detachment or age-related macular degeneration

What to Expect

Your eye specialist at the Center for Retina and Macular Disease will evaluate your eyes, potentially using Optical Coherence Tomography (OCT) or Optical Coherence Tomography OCT to get detailed images of your retina. This helps in accurately diagnosing the condition and determining the best course of treatment. If a macular pucker is diagnosed, surgery is the primary treatment option. Here’s what you can expect:

  • Macular Pucker Surgery: The most common treatment involves vitrectomy surgery, where the vitreous gel that might be pulling on the retina is removed, along with any scar tissue on the surface of the retina. During the procedure, your eye surgeon will carefully remove the scar tissue from the macula, allowing the retina to flatten and return to its normal position. This surgery is usually performed as an outpatient procedure under local anesthesia, meaning you can go home the same day.
  • Post-Surgery Recovery: After the surgery, your eye will be patched for the first day, and you’ll return to the office the next day for a follow-up visit. Your eye specialist will prescribe eye drops to help prevent infection and inflammation. There is typically little to no discomfort following the procedure, but it may take several weeks to months for your vision to stabilize as the retina gradually resumes its normal function. Vision improvement might continue for up to a year.
The surgery is successful in improving or stabilizing vision in approximately 95% to 99% of patients. However, approximately 1% of patients might experience a decrease in vision after the procedure. It’s important to note that if you have not already undergone cataract surgery, a cataract could develop within 12 to 24 months following the vitrectomy surgery.

Potential Risks

As with any surgical procedure, there are potential risks. These can include infection, retinal detachment, increased intraocular pressure, cataracts, and a small chance of decreased vision. Our experienced team at the Center for Retina and Macular Disease takes every precaution to minimize these risks and ensure the best possible outcome for your surgery.

Macular Pucker Potential Risks

Signs You Should Meet with an Eye Specialist in the Center for Retina and Macular Disease

If you experience any of the following, it’s important to seek evaluation and treatment:

  • Sudden changes in vision, such as increased blurriness or distorted vision
  • Difficulty reading or seeing fine details
  • Vision that appears to be wrinkled or bunched up
  • Trouble recognizing faces
  • Loss of peripheral vision or central vision

Macular Pucker Treatment with Center for Retina and Macular Disease

At the Center for Retina and Macular Disease, our team specializes in the medical and surgical treatment of retinal conditions, including macular puckers. With advanced techniques like vitrectomy surgery and a commitment to personalized care, our goal is to improve your vision and enhance your quality of life. Our experienced eye surgeons are dedicated to providing the best possible treatment for your specific condition.

If you’re ready to explore your treatment options for a macular pucker, contact the Center for Retina and Macular Disease today to schedule your consultation.