Macular Pucker/Epiretinal Membrane
Macular Pucker (Epiretinal Membrane)
Some people refer to a macular pucker as a "wrinkle" in the retina. A thin film like membrane forms over the central retina and begins to slowly pull or wrinkle the retina. This leads to symptoms of blurred or distorted vision. Straight lines may become wavy. These membranes can be removed with surgery and the majority of patients have excellent results. The most common reason for this membrane is age related changes to the vitreous gel in the eye though it can be formed after having a retinal tear, detachment, trauma, or history of inflammation in the eye (uveitis).
Macular Hole
Macular Holes form when the vitreous gel pulls on the center of the retina. Again it is a function of aging vitreous gel though trauma can also cause it. Surgery has a 90% success rate on hole closure which leads to significant vision improvement. Many people may still notice slight distortion or blur after the repair. Surgery involves a Pars Plana Vitrectomy to remove the vitreous gel and thus the "pulling" and fill the eye with a gas bubble. The bubble acts as a bandage and pushes on the hole to allow closure. The bubble will last from 4-8 weeks and limit any useful vision during the process. One CANNOT FLY in an airplane or go to high altitude with a gas bubble in the eye. Gas expands and it could lead to severe pain and permanent blindness. The most important part of the surgery is the first 3-7 days where patients need to keep their face down to allow the gas to push on the macular hole. I recommend placing books or a laptop computer on a low table or your lap to occupy your time. You can also rent equipment to help with sleep or watching tv in a face down position.
