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Doctor insights on: Alternative Treatments For Macular Pucker

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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.

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 more

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Can you recommend any alternative treatments for macular hole other than surgery.?

Can you recommend any alternative treatments for macular hole other than surgery.?

Macular hole: For early stage lamellar or full thickness macular holes, intervitreal injections of steroid or a vitreolysis agent can be of some benefit. For most macular holes, surgery is yourbest option. ...Read more

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Could medicare cover macular pucker surgery?

Could medicare cover macular pucker surgery?

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

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What percentage of seniors develop a macular pucker?

What percentage of seniors develop a macular pucker?

Very small%: Macular pucker is very rare condition , I have seen only 3 times in thirty nine years of office practice. ...Read more

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Can contact lenses be worn 1 year after vitrectomy for macular pucker.

Can contact lenses be worn 1 year after vitrectomy for macular pucker.

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

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Macular pucker causing objects & letters to appear larger. Doesn't bother me & I see 20/20. Dr doesn't recommend surgery. Sound reasonable?

Macular pucker causing objects & letters to appear larger. Doesn't bother me & I see 20/20. Dr doesn't recommend surgery. Sound reasonable?

Yes: All surgery involves risk versus benefit. With your vision being that good it sounds like doing surgery would not be worth the risks of a possible complication. I agree with your doctor. ...Read more

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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?

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 more

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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?

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 more

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Can you tell me anything about macular pucker?

Can you tell me anything about macular pucker?

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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Can anyone tell me prognosis for macular puckering?

Can anyone tell me prognosis for macular puckering?

See a retina special: The vast majority cause no symptoms and need no therapy. Those that are more severe, causing central distortion of vision, can be helped my vitrectomy surgery and membrane peel by a retina specialist. ...Read more

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