What is Macular Pucker?
Macular pucker is literally a puckering or wrinkling of the central vision area, known as the maculae. If the puckering is minimal, it is called surface wrinkling. If the puckering is moderate, the macula can appear as crinkled cellophane. This is called cellophane maculopathy. If the wrinkling is more severe, then the condition is then a full macular pucker. Macular Pucker (fluorescein angiogram) Click to Enlarge Macular Pucker (fundus photo – same patient) Click to Enlarge II. What is the mechanism that causes Macular Pucker? Thin transparent scar tissue forms on the surface of the retinal tissue and tends to contract. This contracting tissue causes puckering of the retina. The symptoms of macular pucker are distortion and decrease in central vision. These symptoms may be minimal, moderate or severe. III. What causes the development of this scar tissue? Most commonly, the situation is spontaneous, and certainly there is no inherent cause on the part of the patient. Sometimes the scar
