Macular pucker happens when wrinkles, creases or bulges form on your macula. The macula must lie flat against the back of your eye to work properly. When the macula wrinkles or bulges, your central vision is affected.
Macular Pucker Defined
Macular Pucker Illustration
What is a Macular Pucker?
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.
Macular pucker is also known as epiretinal membrane, preretinal membrane, cellophane maculopathy, retina wrinkle, surface wrinkling retinopathy, premacular fibrosis, and internal limiting membrane disease.
Frequently Asked Questions about Macular Pucker
Is a macular pucker the same as age-related macular degeneration?
No. A macular pucker and age-related macular degeneration are two separate and distinct conditions, although the symptoms for each are similar. An eye care professional will know the difference.
Can macular pucker get worse?
For most people, vision remains stable and does not get progressively worse. Usually macular pucker affects one eye, although it may affect the other eye later.
Is a macular pucker similar to a macular hole?
Although both have similar symptoms – distorted and blurred vision – macular pucker and a macular hole are different conditions. They both result from tugging on the retina from a shrinking vitreous. When the vitreous separates from the retina, usually as part of the aging process, it can cause microscopic damage to the retina. As the retina heals itself, the resulting scar tissue can cause a macular pucker. Rarely, a macular pucker will develop into a macular hole. An eye care professional can readily tell the difference between macular pucker and macular hole.