Some individuals will develop scar tissue that grows on the surface of the macula, the small, specialized area of the retina that gives us our straight-ahead reading and driving vision. If this scar tissue contracts, it causes the macula to wrinkle, or pucker. Macular pucker can be caused by shrinking of the vitreous (the jelly-like substance inside the eye), trauma, retinal tears or detachment, and inflammation. Many patients with macular pucker have no symptoms, while some will experience progressive central blurriness or distortion. One or both eyes may be independently involved.
Although treatment is not recommended for those with minimal symptoms, surgery may be necessary with more severe central visual complaints. At Ocean Eye, we take the time to carefully examine your eyes and recommend a course of treatment only if we are sure it is right for you.