Surgery to repair a macular pucker is very delicate, and while vision improves in most cases, it does not usually return to normal. On average, about half of the vision lost from a macular pucker is restored; some people have significantly more vision restored, some less.
I had macular pucker surgery in July. Before the surgery I had very clear vision, but severe distortion. After the surgery, my vision was 20/200. Initially my surgeon could not tell me why my vision changed so radically. Then, he suggested that a the pre-surgical cataract grew rapidly after the procedure and that was causing my vision loss.
Retinal pucker surgery, also called membrane peel, is an eye surgery in which the vitreous gel is removed to prevent pulling on the retina. A macular pucker is scar tissue that has formed on the eye’s macula, located in the center of the eye’s light-sensitive tissue called the retina.
The visual success rate varies according to the preoperative vision and the presence of cystoid macular edema, the length of time the pucker has been present, and the severity of the pucker itself. Generally, it is considered a visual success if there is a 50% improvement in vision, but often a much better percent improvement is achieved.
What is the success rate (complete vision recovery) for macular hole surgery from stages 1, 2 or 3? What is the normal time frame between stage 1 to stage 3? During a routine annual eye examination by an ophthamologist for a diabetic patient, would you expect detection of a macular hole?
The operation time for an epiretinal membrane/macular pucker surgery usually ranges from 20 to 30 minutes, but this is not an indication of how well the operation has gone. If your surgery is combined with a cataract extraction, your surgery may take up to 15 minutes longer.
Update on Surgery For Macular Hole and Pucker New advances and continuing controversies. ALEX YUAN, MD, PhD. Continued advances in surgical techniques and instrumentation have made surgery for macular pucker and macular hole one of the most successful and gratifying procedures for vitreoretinal surgeons.. The earliest descriptions of membranectomy for epiretinal membrane were fraught with ...
Let’s Chat About Ask a Retina Specialist. Moderator: ... I have macular pucker, and have been advised to watch-and-wait. ... It is difficult to determine a success rate since surgery is usually not performed on pseudoholes. Distortion after surgery is usually improved, but your vision may not. Trauma and Retinal Scar.
Epiretinal Membranes (ERMs), also commonly known as cellophane maculopathy or macular puckers, are avascular (having few or no blood vessels), semitranslucent, fibrocellular membranes that form on the inner surface of the retina. They most commonly cause minimal symptoms and can be simply observed, but in some cases they can result in painless ...
Vitrectomy to remove an epiretinal membrane (ERM) is a complex operation which improves vision in about 80 per cent of patients. The visual prognosis is dependent upon multiple factors such as the cause of the ERM, the duration of visual loss and the preoperative vision.