Surgical Management of Macular Pucker

ABSTRACT

Macular pucker describes minute radiating retinal folds and a preretinal membrane in the macular area. Macular pucker can cause reduced central vision and metamorphopsia. In this study, vitreous surgery is used to remove epiretinal membrane in 21 eyes (21 patients) with macular pucker. In order of the decreasing frequency, the causes of macular pucker were uveitis (9 eyes, 429%). trauma (5 eyes). idiopathic (4 eyes), retinal detachment (2 eyes) and retinal vascular disorder (1 eye). The results were as follows 1. Preoperative visual acuity was 0.2 (40/200) or higher in 6 cases (28.6%). Postoperative visual acuity was 0.2 (40/200) or higher in 16 cases (76.2%). 2. The visual acuity was improved in 18 cases (85.7%) after surgery. 3. The eyes with final visual acuity of 0.1 (20/200) or less had severe preexisting macular damage such as degeneration or edema.