Retina Care Specialists focus in diseases
and surgery of the retina, vitreous, and
macula for patients in their Palm Beach
Gardens and Stuart offices.

Three areas of critical care include diabetic retinopathy,
detached and torn retina, and macular degeneration.

Normal Retina OCT

Macular Pucker

The macula is the central part of the retina, and it is responsible for detailed vision such as reading. A macular pucker is a thin, transparent scar tissue which grows over the macula. This thin sheet can contract and form wrinkles in the retina and distort vision. This condition is also known as epiretinal membrane, cellophane maculopathy, and premacular fibrosis.


Symptoms of macular pucker include blurry and distorted vision in the affected eye. Straight lines such a table edges may appear curved or wavy. These symptoms may range from mild to severe, and one or both eyes may be affected.
OCT Scan of Normal Retina

OCT Scan of Macular Pucker
OCT Scan of Macular Pucker


Most typically, macular puckers occur in people over 50 years of age. However, younger people can be affected as well. There may be associated eye conditions such as:

torn or detached retina
posterior vitreous detachment (separation of the gel from the back of the eye)
a blocked blood vessel in the retina
inflammation in the eye
trauma to the eye


Macular puckers can be detected by a complete eye exam with your ophthalmologist. As retinal specialists, our focus is to determine how much the macular pucker is contributing to your visual symptoms and what can be done to remedy the problem. Fluorescein Angiography is a test performed in the office which can help us determine the health of the macula. Optical Coherence Tomography (OCT) is a state-of-the-art test which helps us actually visualize how much the pucker is pulling on the macula.


Healthy Retina

Macular Pucker

The only treatment is vitrectomy surgery where the thin layer of scar tissue is actually removed with tiny instruments by your retinal specialist. This is an outpatient surgery and typically takes about 45 minutes. It takes several weeks for the retina to heal and to realize the full visual benefit of the surgery. Usually there is a noticeable improvement in vision, although not all the way back to normal.

There are no drops, laser, or other treatments that will help. Glasses only help up to a point, but they do nothing for the distortion. Fortunately, most people with a macular pucker do not need surgery. Surgery should only be considered if the visual benefit is interfering with your everyday life.

Main Office
3399 PGA Blvd., Suite 350
Palm Beach Gardens, FL 33410
(561) 624-0099
Stuart Eye Institute
2090 SE Ocean Blvd.
Stuart, FL 34996
(772) 335-0089
1859 SE Port St. Lucie Blvd.
Port St. Lucie, Fl 34952
Copyright 2005-2013, Retina Care Specialists, Inc.