Wrinkle in retina surgery12/20/2023 Most macular puckers are related to vitreous detachment, which usually occurs in people over age 50. However, if the scar tissue forms over the macula, our sharp, central vision becomes blurry and distorted. When the scar tissue contracts, it causes the retina to wrinkle, or pucker, usually without any effect on central vision. This scar tissue is firmly attached to the retina’s surface. When this happens, the retina begins a healing process to the damaged area and forms scar tissue, or an epiretinal membrane, on the surface of the retina. Sometimes when the vitreous pulls away from the retina, there is a small amount of damage to the retina’s surface. In most cases, there are no adverse effects, except for a small increase in floaters, which are little “cobwebs” or specks that seem to float about in your field of vision. This is called a vitreous detachment, and is normal. As we age, the vitreous slowly shrinks and pulls away from the retina’s surface. The vitreous contains millions of fine fibers that are attached to the surface of the retina. Most of the eye’s interior is filled with vitreous, a gel-like substance that fills about 80 percent of the eye and helps it maintain a round shape. A macular pucker can cause blurred and distorted central vision. The macula provides the sharp, central vision we need for reading, driving, and seeing fine detail. Be sure to discuss potential complications with your ophthalmologist before surgery.A macular pucker is scar tissue that has formed on the eye’s macula, located in the center of the eye’s light-sensitive tissue called the retina. This is an elective procedure and should be considered if your blurred vision is interfering with your daily activities.Įye Care Solutions: Safe & Accurate LASIK Eye Surgery & Care Solutions What Are the Potential Risks of Vitrectomy Surgery?Īs with any surgical procedure, rare complications that can occur while you are treating macular pucker include infection, bleeding, retinal detachment, recurrence of macular pucker after surgery, and cataracts. After the tissue is gone, the macula flattens and vision slowly improves, though it usually does not return all the way to normal. The surgery is usually performed as an outpatient procedure in an operating room.ĭuring surgery, your retina specialist uses tiny instruments to remove the wrinkled tissue on your macula. If you are experiencing severe symptoms, a surgery called vitrectomy is recommended to treat macular pucker. Eye drops, medicines, or laser surgery do not improve vision. Updating your eyeglass prescription or wearing bifocals may improve vision. In addition, a specialized type of ultrasound called an OCT may be performed to diagnose the epiretinal membrane.įor mild symptoms, you may not be required to treat the epiretinal membrane. These photographs show if an abnormality exists in your retina. A test called a fluorescein angiogram, a procedure that takes special photographs of the eye may be performed. Our staff of ophthalmologists detects macular pucker by examining your retina.
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