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
Usually: If one has Medicare as insurance, macular pucker is usually a covered diagnosis, and surgery is considered medically necessary if the patient is symptomatic or has vision deterioration from the pucker. People are Medicare eligible at age 65 years, or with certain chronic illnesses. ...Read more
Yes: If the cornea is of normal curvature and health and the tear is sufficient to support a lens, then a contact can be worn. The vitrectomy will not affect the front of the eye unless the need for the vitrectomy included pathology of the front of the eye. Ask your ophthalmologist about your corneal health. ...Read more
Macular pucker causing objects & letters to appear larger. Doesn't bother me & I see 20/20. Dr doesn't recommend surgery. Sound reasonable?
Have macular pucker. Doorways wavy, objects larger but see 20/20. Could difficulty seeing curbs and turn lanes when driving at night be a symptom?
Hard to say: Getting the opinion of a retina specialist that can examine the eye carefully and see what other, if any, eye problems might contribute, would be most appropriate. If there are no other problems and the pucker is identified as the cause symptoms, then the risk of surgery must be weighted against the magnitude of the problem and visual acuity, for surgical decision making. ...Read moreSee 1 more doctor answer
Have moderate macular pucker. 1 retina specialist said it will affect my vision within 5 yrs. & another said It may never cause problem. Any opinions?
Does it bother?: Macular puckers have a wide range of effect on vision. If the vision is mildly affected and it does not bother, I generally recommend observation. If there is significant distortion that affects a persons vision performance, I often recommend surgery, regardless of visual acuity. So the key is how much does it affect a person either from poor acuity (blurriness) or distortion. ...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
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