Doctor insights on:
Alternative Treatments For Macular Pucker
How problematic is macular pucker in both eyes for prognosis & treatment. 1 eye advanced from mild to moderate in few mos. but no visual effects yet.
Macular pucker: Bottom line: observe only unless affecting vision significantly. Pars plana vitrectomy with membrane peel is a major surgery and not to be taken lightly even though results are much better than they once were. Keep follow up appointments and do Amsler grid testing at home. Many cases do not advance, so be patient. Many cases have no known cause. ...Read moreSee 2 more doctor answers
Several Causes: Macular pucker or epiretinal membrane results in formation of a thin layer of scar tissue which distorts the retina. It is caused by cells migrating through a tiny hole or from inflammation. If the symptoms of blurring and distortion are severe enough, then surgery may be needed. ...Read moreSee 1 more doctor answer
Vision disturbed: Macular pucker is when the vitreous gel atop the macula developed a membranous layer with attachments to the macula and with some degree of condensation and contraction will wrinkle a little and disturb the vision. It can occur after trauma, retinal surgery but also can be spontaneous. If progressive and threatening the vision a procedure called membrane peel can improve things. ...Read more
Macular pucker.with distortion. Close-up vision great, distance vision not as good. Could macular pucker impair distance vision only and not close up?
Not likely : Macular pucker affects the retina which detects images at any distance. The lens and cornea focus images at various distances onto the retina. So a problem at only one distance usually is a problem other than the retina. However, some people may only notice distortion from a macular pucker at a particular distance. A review of your records/images would help clarify. ...Read more
Vitrectomy: If the symptoms are severe enough, a retinal surgeon can perform a vitrectomy operation which involves delicately peeling the wrinkled membrane from the surface of the retina. Over time, this allows the retina to flatten out and assume a more normal shape. Cataract if a common complication of this operation. ...Read moreSee 2 more doctor answers
Have macular pucker for 1 yr. & each week notice steady increase in wavy lines, but yet I see 20/20. Why has distortion not stabilized & will it ever?
Unfortunately: there is no way to predict stabilization. In some it does and in some it doesn't. Typically if it doesn't and progresses to a certain extent surgery can be performed to help. In your case of progressive change, make sure you are seeing a retinal specialist regularly to make sure your visual changes are not related to something else, like cataract or glaucoma. Hope this helps! ...Read more
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