A macular pucker happens when wrinkles, creases or bulges form on your macula. The macula must lie flat against the back of your eye to work properly. When the macula wrinkles or bulges, your central vision is affected.
With macular pucker, objects can look wavy, or you may have trouble seeing details. You might notice a gray or cloudy area in your central vision. You may even have a blank spot in your central vision.
Age is the most common cause of macular pucker. People who have other eye problems may also get a macular pucker. These problems include:
- vitreous detachment, where the eye’s vitreous pulls away from the retina
- torn or detached retina
- swelling inside the eye
- serious damage to the eye (from surgery or injury)
- problems with blood vessels in the retina
If your symptoms are mild, you may not need any treatment. Instead, your ophthalmologist may change your glasses or contact lens prescription to improve your vision. If your symptoms are severe, your ophthalmologist may recommend a surgery called vitrectomy. Your ophthalmologist will remove some of the vitreous and scar tissue on your macula. It is likely your vision will slowly improve; however, your sight may never be as good as it was before the macular pucker developed.
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