What is Macular Pucker and What Would One Do About This Condition?

Here is an interesting detail about being a retinal specialist: you diagnose and treat conditions that many people have never heard of. If you’ve heard the term “macular pucker” before, you are among a very, very small group. For the most part, one only becomes familiar with this problem if they or someone they love is diagnosed with it. Here, we discuss what macular pucker is, who may develop it, and what we do about it when we find it.

Macular pucker is an eye disease that develops in the macula. The macula is the central part of the retina, which sits at the back of the eye. The macula is responsible for forming central vision. A macular pucker, as it may sound, involves bulging or wrinkling in this part of the retina. Normally, the macula lies flat. This position is necessary for normal function. A wrinkle or bulge will interrupt the clarity of central vision. People with macular pucker may experience cloudiness, a graying of their central field of vision, or blank spots in central vision. In some cases, no symptoms develop. Macular pucker may affect any person. However, studies indicate that there are certain people who have a higher risk of developing this condition.

People with Retinal Conditions

Eye conditions that affect the retina may increase the risk for macular pucker. Common retinal conditions include:

  • A torn or detached retina
  • Posterior vitreous detachment
  • Damaged or abnormal blood vessels in the retina
  • Swelling in the eye, increased intraocular pressure
  • Injury to the eye
  • Inflammation in the eye

Older Adults

Macular pucker is more commonly found in older adults. This could be because, as we age, the vitreous fluid that fills the center of the eye shrinks. The vitreous is normally gel-like and viscous. With age, it becomes more fluid, which could cause it to separate from the retina. Tiny fibers in the vitreous can tug on the retina, resulting in tears or other damage. Where there is damage, there will be scar tissue, and scar tissue could lead to macular pucker. The American Society of Retina Specialists reports that 2% of adults aged 50 and over show signs of macular pucker. Approximately 20% of adults aged 75 and older show signs of the condition.

VitreoRetinal Surgery, PA provides services to diagnose and treat conditions like macular pucker, macular holes, and several other problems. We are honored to accept referrals from physicians in our area and are committed to helping each patient address their eye health needs. To schedule a visit with us, call (800) VRS-2500.