Many people do not require treatment,
since they notice only mild vision
distortion that does not interrupt
their daily activities.

Treatment of Macular Pucker

Many people who experience a macular pucker do not require treatment, since they notice only mild vision distortion and/or blurriness that does not interrupt major activities like reading and driving. It is even possible that the macular pucker will disappear if the scar tissue that was causing the pucker separates from the retina. It is important to note that no eye drops, medications, or nutritional supplements can improve vision problems associated with a macular pucker.

In the rare event that a pucker causes vision to deteriorate to the point of disrupting daily activities, your eye specialist may recommend a surgery called a vitrectomy. In a vitrectomy, your eye surgeon will remove the scar tissue that is causing the pucker and will replace the vitreous gel with a salt solution to stop it from tugging on the retina. Sometimes the doctor will need to place an air or gas bubble in the eye to help the retina heal or to seal any tears or holes.

After a vitrectomy, you will need to wear an eye patch for a few days or weeks and your doctor will prescribe medicated eye drops to prevent infection. If you needed a bubble, your doctor will have specific instructions about remaining in a face-down position for a prescribed period of time following the surgery.

Talk to your Retina Vitreous Associates Retinal Opthalmologist about whether surgical treatment is appropriate for you.

Will surgery return my vision to normal?

Surgery to repair a macular pucker is very delicate, and while it will significantly reduce vision distortion in most patients, it does not usually completely restore normal eyesight. On average, about half the vision lost due to a macular pucker can be restored, although some people will notice more improvement, and some will notice less. Improvement in vision can take up to three months after surgery.

What are the risks of this type of surgery?

The most common complication from macular pucker surgery is an increase in the rate of cataract development; patients may find that they require cataract surgery within a few years of the vitrectomy. Other less common complications include retinal detachment, either during or following surgery, and infection after surgery. In some rare instances, the macular pucker grows back.