Can Macular Pucker After Retinal Detachment Surgery Be Repaired
Macular Pucker
What is Macular Pucker?
This condition is also referred to as epiretinal membrane, cellophane maculopathy, or surface wrinkling retinopathy. Information technology is characterized by an abnormal, sparse, cellophane-like piece of tissue that grows as a sheet on the surface of the heart of the retina (macula). A macular crease may develop in response to injury or inflamation in the center subsequently a retinal tear or disengagement, later on cataract surgery, or in association with diseases such equally uveitis or diabetes. Still, in virtually cases there is no identifiable crusade. Central vision may become blurred or distorted if the macular pucker contracts over fourth dimension; peripheral vision is usually not affected.
What is the Treatment for Macular Pucker?
Surgery is the only known treatment option. If the macular pucker is mild and visual acuity is good, ascertainment is commonly recommended. However, if the pucker has caused significant visual distortion or blur, surgery may help. The surgery is called a vitrectomy and consists of removing some of the vitreous gel and peeling away the abnormal membrane on the surface of the retina that is causing the wrinkle or pucker. The surgery mostly takes less than an hour and can be performed nether local or general anesthesia every bit an outpatient procedure. Ordinarily the center is minimally irritated afterwards, and patients resume normal activeness inside a few days.
What is the Do good of Surgery for Macular Pucker?
Nigh patients will gradually experience some degree of improved visual acuity or decreased distortion in the weeks to months following surgery. The exact corporeality of visual improvement is difficult to predict and not all patients amend fifty-fifty with successful removal of the macular pucker. In full general, those with a adequately recent crease volition experience greater visual improvement compared to those with a very old pucker. Information technology is rare, though possible, for a macular pucker to abound dorsum.
Surgery for a macular pucker is elective, and as with any surgical procedure, at that place are risks from the operation and whatever anesthesia is used. Fortunately, complications are rare, simply should an ocular complication such as retinal detachment, hemorrhage, infection develop, and others, they can impact the vision and sometimes additional surgery may be needed. It is relatively common to have cataract development or progression months after surgery. Patients who elect to have surgery for a macular pucker should exist aware that cataract surgery may be indicated at some point in the future. Your surgeon will further outline the risks, benefits, and alternatives of surgery with you and make tailored recommendations based on the unique findings of your eye.
Source: https://midatlanticretina.com/disease/macular-pucker/
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