What Are Some Treatment Options for Macular Pucker?

In most cases, macular pucker requires no treatment, according to the National Eye Institute. Eyedrops, medications and supplements are ineffective in treating the condition. If vision deteriorates significantly, a surgical procedure called a vitrectomy treats the condition.

Macular pucker is an additional tissue layer on the macula, which causes blurred, distorted central vision, reports Edward S. Harkness Eye Institute. Because visual disturbances are typically mild, individuals with this condition can usually carry out their daily activities without undergoing any treatment. Sometimes, this extra layer of tissue pulls away from the macula on its own, and the patient's vision returns to normal.

If the macular pucker impacts a patient's vision to the point where he cannot carry out his daily activities, he may undergo a vitrectomy with membrane peel, states Edward S. Harkness Eye Institute. After administering local anesthesia, the surgeon removes the vitreous gel from the affected eye and replaces it with a saline solution. He then removes the layer of tissue that is causing the macular pucker.

Although a vitrectomy with membrane peel improves vision, it does not restore vision to normal, advises Edward S. Harkness Eye Institute. Most people regain about 50 percent of their vision following the procedure, but the distortion clears. Full benefits of the procedure may take as long as three months to become evident.