Macular Pucker Vitrectomy
In a macular pucker vitrectomy, the vitreous gel in the eye is removed and replaced with a saltwater solution; the scar tissue also is removed. Most people who have this procedure can expect their vision to improve, but it usually does not return to normal.
A macular pucker usually requires no treatment. In many cases, the macular pucker symptoms of vision distortion and blurriness are mild, and no treatment is necessary. People can adjust to the mild visual distortion since it does not affect their daily lives.
In rare cases, vision deteriorates to the point where it affects daily routine activities. When this happens, surgery may be recommended as a macular pucker treatment. The procedure used for a macular pucker is called a vitrectomy.
In a vitrectomy, the vitreous gel is removed to prevent it from pulling on the retina; then it is replaced with a saltwater solution. Because the vitreous is mostly water, you will notice no difference between the saltwater solution and the normal vitreous. During a macular pucker vitrectomy, the scar tissue that causes the wrinkling also is removed.
A macular pucker vitrectomy is performed under local anesthesia and often on an outpatient basis, meaning you will go home the day of the procedure.
After the surgery, you will need to wear an eyepatch for a few days or weeks to protect the eye. You will also need to use medicated eyedrops to protect against infection.
A vitrectomy to repair a macular pucker is a very delicate procedure, 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. In most cases, vision distortion is significantly reduced. Recovery of vision can take up to three months. Patients should talk with their eye care professional about whether a macular pucker vitrectomy is appropriate.