Macular Hole & Pucker Treatment

The macula is a delicate section of tissue on the retina that's sensitive to light. It's essential for vision, but as people age it’s prone to damage. Macular holes and macular puckers are 2 types of damage that can occur. The team at Retina Consultants of Orange County offers state-of-the-art services in diagnosis and treatment for macular pucker and macular holes.

Macular Hole & Pucker Treatment Q & A

What is a macular hole?

A macular hole is a hole in the macula. These holes occur in the center of the macula, known as the fovea, which is the most delicate section of the retina. Macular holes develop as part of the aging process and occur when the gel in the eye (the vitreous) thins and separates from the macula. This pulls on the tissue of the macula and creates a hole. Nearsightedness, retinal detachment, inflammation, and eye injuries can also cause this.

What are the symptoms of a macular hole?

At first, macular holes cause only a small portion of blurry or distorted vision. As they grow, central vision worsens, but the peripheral vision isn't affected.

How are macular holes treated?

Sometimes macular holes will resolve without treatment, but most patients require surgery to restore their vision. This involves an outpatient procedure called a vitrectomy, which removes the vitreous gel, replaces it with saline, and closes the hole. Non-surgical treatments are growing in popularity. One of these, JETREA, involves injecting a proteolytic enzyme into the eye to help treat macular holes.

What is a macular pucker?

A macular pucker is a thin layer of scar tissue on the macula. Like macular holes, these develop as part of the aging process when particles drift into the gel that fills the eye (the vitreous) and settle onto the macula. As those particles irritate the tissue, scar tissue develops. Some conditions and diseases, including diabetic retinopathy and retinal detachment, can also cause a macular pucker.

What symptoms do macular puckers create?

Macular puckers can cause swelling in the macula, which will cause:
  • Blurred vision
  • Distorted vision
  • Straight lines appearing wavy
  • Difficult with fine detail vision
Patients who are noticing these symptoms should make an appointment with Retina Consultants of Orange County to discuss their concerns.

How is a macular pucker treated?

Macular puckers don't always need to be treated, but when they cause vision loss or distortion, the Retina Consultants of Orange County team can perform a vitrectomy to remove the pucker.  More information about Macular Hole and Macular Pucker can be found here