9 doctors weighed in:

My brother is diagnosed with a "macular pucker", thin film covering macula of left eye. What are some ways to treat this condition?

9 doctors weighed in
Dr. Bernard Godley
Ophthalmology - Retinal Surgery
2 doctors agree

In brief: Microsurgery

It is an outpatient operation to scrape off scar tissue which is distorting or wrinkling the retinal surface.
Membranes on the retina can cause distorted vision, retinal holes and detachments. Usually the surgery is done with the patient sedated, lying under a powerful microscope. The surgeon uses miniature instruments to remove the vitreous gel and scrape the scar tissue off.

In brief: Microsurgery

It is an outpatient operation to scrape off scar tissue which is distorting or wrinkling the retinal surface.
Membranes on the retina can cause distorted vision, retinal holes and detachments. Usually the surgery is done with the patient sedated, lying under a powerful microscope. The surgeon uses miniature instruments to remove the vitreous gel and scrape the scar tissue off.
Dr. Bernard Godley
Dr. Bernard Godley
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Dr. Richard Scartozzi
Ophthalmology - Retinal Surgery
1 doctor agrees

In brief: See a retina special

If the pucker is severe enough, then vitrectomy surgery with membrane peel is how it is treated.

In brief: See a retina special

If the pucker is severe enough, then vitrectomy surgery with membrane peel is how it is treated.
Dr. Richard Scartozzi
Dr. Richard Scartozzi
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Dr. Tim Conrad
Ophthalmology
1 doctor agrees

In brief: New treatment

There is a new treatment for this which recently approved by the fda.
It is a medication which can dissolve the film that is pulling on the macula. Your brother should see his ophthalmologist for consideration of this.

In brief: New treatment

There is a new treatment for this which recently approved by the fda.
It is a medication which can dissolve the film that is pulling on the macula. Your brother should see his ophthalmologist for consideration of this.
Dr. Tim Conrad
Dr. Tim Conrad
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Dr. Brian Sucheski
Ophthalmology
1 doctor agrees

In brief: Needs more testing

If the distortion is affecting his vision to a severe degree, he should see a retinal specialist for evaluation with an oct (a detailed MAP of the macula) and possibly surgery (a vitrectomy with membrane peel).
There are few non-surgical options unless he has fluid under the macula as well. The oct would tell if there is edema (fluid).

In brief: Needs more testing

If the distortion is affecting his vision to a severe degree, he should see a retinal specialist for evaluation with an oct (a detailed MAP of the macula) and possibly surgery (a vitrectomy with membrane peel).
There are few non-surgical options unless he has fluid under the macula as well. The oct would tell if there is edema (fluid).
Dr. Brian Sucheski
Dr. Brian Sucheski
Thank
Dr. Mark Michels
Ophthalmology

In brief: Depends on vision

A macular pucker is treated with outpatient surgery as described by my colleagues.
The question is how impacted is your brother's vision and is it bothering him enough for surgery. Non invasive medication mentioned only considered with pinpoint traction and even when conditions are perfect for it, it works less than 50% of time and is expensive. Short answer is surgery if warranted.

In brief: Depends on vision

A macular pucker is treated with outpatient surgery as described by my colleagues.
The question is how impacted is your brother's vision and is it bothering him enough for surgery. Non invasive medication mentioned only considered with pinpoint traction and even when conditions are perfect for it, it works less than 50% of time and is expensive. Short answer is surgery if warranted.
Dr. Mark Michels
Dr. Mark Michels
Thank
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