The macula is part of the retina, in the back of the eye. It is a collection of nerves where the eye focuses the images that we see. The macula normally lies very flat against the back of the eye. When trauma or surgery happens to an eye, scar tissue or cells can grow within the eye. These cells or scars can pull on the macula and create a wrinkle, or pucker. Diseases can also cause scar tissue within the eye. These additional tissues are known as epiretinal membranes. Often the actual cause of the pucker may not be known.
Some patients with a macular pucker may not notice any impairment of vision. In patients where this is the case, treatment may not be necessary.
Some patients may have significant distortion of vision as a result of the pucker. When this is the case, a surgeon can remove the additional tissue through surgery. First, the surgeon will numb the patient with local anesthetics. Then the vitreous (gel-like substance in the eye) is removed. After the removal of the vitreous, the surgeon can then access the scar tissue and remove it. The result will be that the macula can again lie flat against the eye. The surgeon will then fill the eye with a liquid or gas that will eventually be replaced by the patient’s own body fluid.
If you are experiencing a decline in seeing fine details of objects, or if you notice straight lines looking wavy or broken, you may have a macular pucker. Call us today at 303-320-1777 to set up an appointment for a full eye exam.