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What is the prognosis for someone with macular pucker?

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Most people with macular pucker adjust to the resulting mild vision distortion with no treatment, and in some cases, the macular pucker clears up after the scar tissue that caused the condition separates from the retina, advises the National Eye Institute. People who choose surgery for macular pucker generally experience improved eyesight but do not regain normal vision.

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Macular pucker occurs when scar tissue forms on the macula, located at the center of the retina, states the National Eye Institute. The body creates this scar tissue to heal the eye when the vitreous material inside the eye shrinks and pulls away from the retina. Macular pucker causes blurred and distorted central vision that is used for activities such as reading, driving and seeing fine detail. The condition usually affects only one eye and is usually not progressive, though in some cases it may later affect the other eye.

A doctor may perform surgery for a patient who has difficulty with daily activities due to the effects of macular pucker, notes the National Eye Institute. During the surgery, the doctor removes the scar tissue and replaces the vitreous causing the pucker with a salt solution. People who have surgery to correct macular pucker usually have about 50 percent of their vision restored, though some experience more or less relief.

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