Macular Pucker


What is Macular Pucker?
Macular develops when an abnormal membrane grows on the surface of the retina. The membranes grow over the center of the retina, which is called the macula, and can cause wrinkling, or puckering of the retina. Macular pucker is sometimes also referred to as macular fibrosis, or epiretinal membrane.


What are the Signs and Symptoms of Macular Pucker?
Waviness, distortion and blurry vision are the most common signs of macular pucker.


What causes Macular Pucker?
The reason these membranes grow is unclear however they can be related to other diseases in the eye such as inflammation (uveitis), retinal tears and retinal detachments. Macular pucker is often accompanied by macular edema due to the traction on the retina by the membrane.


How is Macular Pucker treated?
In mild cases where the vision is minimally affected, observation is common. When the macular pucker is symptomatic, surgical removal of the membrane is often necessary. In mild cases where the membrane is not causing significant traction, treatments to reduce edema from the membrane are sometimes tried first including steroid injections alongside of, or directly into the eye. After surgery, vision often improves although the recovery may take several months.


For more information about Macular Edema, you may wish to visit/contact:

National Eye Institute (NEI)
Macular Pucker Resource Guide


Epimacular Membrane