A macular pucker is scar tissue that has formed on the eye’s macula, located in the center of the light-sensitive tissue called the retina. The macula provides the sharp, central vision we need for reading, driving, and seeing fine detail.
A macular pucker can cause blurred and distorted central vision, difficulty reading or performing tasks that require detail vision. As you age, the vitreous – the clear, gel-like substance that fills the middle of your eye begins to shrink and pull away from the retina. Scar tissue may develop on the macula as the vitreous pulls away. Sometimes the scar tissue may warp and contract, causing the retina to wrinkle or bulge.
Treatment may not be necessary for mild symptoms, updating your eyeglass prescription or wearing bifocals may improve vision. In more severe cases, a surgery called vitrectomy is recommended. During surgery, the wrinkled tissue will be removed and in time the macula flattens and vision slowly improves. Usually, vision does not return all the way to normal.