![]() Prognosis/Long-term outlookĭespite the surgery being very delicate, it is useful in improving vision. It also prevents the patient from rubbing the eye. The patch protects the eye from infection as well as irritants. The patient may be required to wear an eye patch for as long as the doctor recommends. Follow up should be done as frequently as possible to monitor the progress. The operation is performed under local anesthesia while the patient is awake.Īfter the surgery, the eye surgeon will administer antibiotic eye drops to prevent infection. The epiretinal membrane/scar tissue is also removed. The surgery involves removal of the vitreous gel to prevent the pull that causes damage. Where the condition is severe, patients can opt for a vitrectomy. Other times, the scar tissue may separate from the retinal surface and the condition resolves on its own. Majority of people learn to live with the mild visual distortion. Treatment for macular pucker is focused on improving vision. Tonometry – In a few instances, the intraocular pressure (IOP) may also be measured.Both tests assess the condition of the macula. In the latter, fluorescein dye is injected into the bloodstream of the eye to highlight the vessels when photographed. In OCT, a machine scans the back of the eye. ![]() Imaging tests – Optical coherence tomography (OCT) and fluorescein angiography are used for diagnosis.Dilated eye exam – Involves the use of dilator drops to allow proper viewing inside the eye.Visual acuity test – This is done to assess the clarity of vision of the eye.Diagnosisĭiagnosis for macular pucker may include the following: There may also be blank spaces in central vision with time. It also becomes difficult to read, drive or do other activities. Usually, straight lines will appear wavy. Patients with macular pucker experience blurred vision. The risk factors for the condition are old age and the female gender. Other causes of macular pucker can include retinal detachment, uveitis, trauma or diabetic retinopathy. ![]() When the scar forms on the macula, problems in the central vision arise. The contraction of the tissue causes the retina to wrinkle. As the area begins to heal, the scar tissue/epiretinal membrane begins to form. However, in some instances, the detachment can cause some damage to the surface of the retina. It is usually a harmless process that may only result in floaters. This is a normal aging process that occurs as the vitreous humor shrinks and changes in shape. Also Known AsĪ macular pucker develops due to the detachment of the vitreous humor from the retina. When damaged, the central vision is distorted. It is tasked with perceiving fine details and color. A healthy macula lies flat against the back of the eye. The signals are interpreted by the brain as images which one sees. It contains photoreceptors which convert light into signals. The macula is situated at the centre of the retina. The tissue causes wrinkles and bulges on the surface of the retina. A macular pucker is a scar tissue that forms on the macula.
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