![]() What are the risks if left untreated?įor most with a macular pucker, their vision remains stable and does not get progressively worse. If any of the lines are wavy with either eye, we should see you for a retinal examination and scan of your macula right away. Again, take note if any of the lines are wavy. Then repeat this by covering up your left eye with your hand and looking at the center dot with your right eye. While you are looking at the center dot, pay attention to the straight lines all around the center dot. With the left eye, look directly at the center dot below. In between appointments, you can monitor yourself at home with an Amsler grid (below).Ĭover up your right eye with your hand and look only through the left eye. However, with routine eye exams, we can screen for macular pucker and other macular health as well as closely monitor any changes in your macula that you may have. Unfortunately, there is no prevention for macular pucker. Are there preventative steps or measures to avoid Macular Pucker? ![]() After about two weeks you can usually start slowly resuming normal physical activity. Additionally, you can walk around during the first two weeks and do not need to sleep in any specific position. After the first week, you may return to work. All of these things will increase pressure to the eye that may have serious adverse effects. You should not bend your head lower than your heart, lift anything heavier than a milk jug, strain or rub your eye. During the first week, we recommend that you should take it easy. Your physical recovery after surgery takes about a week or two. As everyone’s situation is different, we can discuss with you what you should realistically expect after surgery. Although the vision usually improves after surgery, it is important to understand that the vision may not return to perfect. Additionally, the vision usually improves slowly as well. The goal of the surgery is to stop the vision from getting worse. Peeling or removing the scar tissue allows the macula to flatten over time, so it may return more closely to its original position. Vitrectomy surgery removes most of the vitreous gel, or floaters, from the back of the eye and removes the scar tissue off of the macula. ![]() The surgery required to treat a macular pucker is called a vitrectomy with membrane peel. However, if the macular pucker causes significant blurry vision or wavy lines that cannot be improved with glasses, and the vision and scans are continually getting worse over time, then we usually recommend surgery to remove the scar tissue off of the macula. If it never gets worse, then you may never need to have any surgery. If the pucker is mild and does not really affect your vision, we usually recommend close monitoring to make sure that it does not get any worse. Macular pucker can either be treated with close monitoring or surgery. Finally, we can compare what a normal scan should look like to what an abnormal scan may look like and we will review these scans with you. The doctors will study these pictures to check for problems. This provides very detailed pictures of the retina and macula giving us a cross sectional view. With OCT, a machine scans the back of your eye. ![]() Pictures will be taken of your eye using optical coherence tomography (OCT). The doctor will then use a special lens to look inside of your eye at your macula. When you come in for your retina exam, the technician will put drops in your eye to dilate your pupil. Gray or cloudy space in the central vision field.Inability to see fine details even with glasses.Seeing wavy or curvy lines when they should be straight.Signs and symptoms of Macular Pucker include: What are the Signs and Symptoms of Macular Pucker? If it adheres, scar tissue can form causing the retina and macula to wrinkle or pucker. However, sometimes the vitreous can adhere to the retina and macula. Usually, it pulls away and separates from the retina and macula without any problems. As you age the vitreous starts shrinking and begins to pull away from the retina. Prior Retinal Conditions, such as Retinal Detachment SurgeryĪging is the most common cause of macular pucker.That being said, common circumstances in which we see macular pucker are in the following: Most cases of macular pucker are “idiopathic” which means that it is not fully understood why it happens in some people but not others. You may also notice that you cannot focus perfectly even when wearing your glasses. The main symptom you may experience with a macular pucker is that straight lines look wavy. Macular pucker occurs when scar tissue forms over the macula, wrinkling or puckering the underlying macula.
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