![]() ![]() Your doctor will also remove the scar tissue to prevent future complications. The vitrectomy procedure will remove and replace vitreous gel with salt water to prevent further tension on the retina. If vision is greatly affected, surgery would be needed to enhance a patient’s quality of life. In some scenarios, the actual scar tissue will separate from the retina to clear up the pucker. Many patients can live with a mild distortion or blurriness since daily activities aren’t adversely affected. Treatment and PrognosisĬommonly, macular pucker requires no medical treatment, where blurred and distorted vision are mild. A laser camera is used to capture pictures of your retina to check for any abnormalities. To ensure an even more accurate diagnosis, your doctor can use the optical coherence tomography (OCT) test. This test involves your doctor injecting a fluorescent dye into your bloodstream to illuminate the vessels in your retina. Your ophthalmologist might also decide to utilize fluorescein angiography. Part of this comprehensive exam will include dilating your pupils to give your doctor a better view to examine your retina. In order to properly diagnose a macular pucker, a comprehensive eye examination is needed to thoroughly assess the eye, including the retina. Appearance of a gray area in the central vision.In severe cases, there can be severe vision loss. When the pucker is relatively mild, there may not be any associated vision loss. Other times, the scar tissue can form right over the macula to affect central vision. A contraction of the scar tissue can cause the retina to pucker, or wrinkle. Through this healing process, scar tissue can develop and become firmly attached to the retina. In turn, this can lead to retinal damage, which will initiate the healing process of the retina. This causes the vitreous gel to disengage from the retinal surface. This gel is filled with millions of fibers that are connected to the surface of the retina, and over time, the vitreous shrinks. Inside of the eye is a gel called vitreous, which is located between the lens and the retina, and is responsible for the eye having a round shape. The cause of macular pucker has a large part to do with the anatomy of the eye. While macular pucker usually affects only one eye, both eyes can experience the condition. The scar tissue can develop as a result of other conditions where the retina has healed itself. When macular pucker arises, the central vision becomes distorted and blurred, causing problems completing everyday activities. The macula is involved in visual acuity (sharpness) and central vision, which corresponds to activities like reading and driving. The macula is located in the center of the retina, a layer of light-sensitive tissue located in the back of the eye. Scar tissue can form on the eye’s macula in a condition referred to as macular pucker or epiretinal membrane. Shawn Agee, are both trained to treated Macular Puckers of the retina. Jacksonville, FL retina eye specialists, Dr. ![]()
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