What is Macular Pucker?

This condition is also referred to as epiretinal membrane, cellophane maculopathy, or surface wrinkling retinopathy. It is characterized by an abnormal, thin, cellophane-like piece of tissue that grows as a sheet on the surface of the center of the retina (macula). A macular pucker may develop in response to injury or swelling in the eye after a retinal tear or detachment, after cataract surgery, or in association with diseases such as uveitis or diabetes. However, in most cases there is no identifiable cause. Central vision may become blurred or distorted if the macular pucker contracts over time; peripheral vision is usually not affected.
 

What is the Treatment for Macular Pucker?

Surgery is the only known treatment option. If the macular pucker is mild and visual acuity is good, observation is usually recommended. However, if the pucker has caused significant visual distortion or blur, surgery may help. The surgery is called a vitrectomy and consists of removing some of the vitreous gel and peeling away the abnormal membrane on the surface of the retina that is causing the wrinkle or pucker. The surgery generally takes less than an hour and can be performed under local or general anesthesia as an outpatient procedure. Usually the eye is minimally irritated afterwards, and patients resume normal activity within a few days.