Treatment

• Treatment is usually unnecessary for people dealing with macular pucker. In general, the symptoms of blurry and distorted vision are very mild and there is no real reason to take further action. In general, individuals with macular pucker simply adjust to the macular pucker since it doesn't usually affect daily life routines. In certain situations, the scar tissue removes itself from the retina, and the macular pucker clears up itself.
  
  

Surgery

• In rare cases, the vision degrades so much that surgery is necessary. This surgery is known as a vitrectomy. With a vitrectomy, the vitreous gel of the eye is taken out to stop it from pulling on the retina. The gel is then replaced with a salt solution (since vitreous gel is mostly water, the patient will not notice the difference). The scar tissue causing the macular pucker is also removed.
  
  

Effectiveness

• Macular pucker surgery is extremely delicate and usually causes vision to improve. However, the vision generally doesn't revert back to perfectly normal after these surgeries. Approximately half of the vision is stored after macular pucker surgery, although some people get more vision back and others get less. Vision recovery can take up to three months.
  
  

Risks

• The most common macular pucker surgery complication is the development of cataracts. In some cases, cataract surgery is required a few years after an individual undergoes a vitrectomy to remove the scar tissue. Less common complications include post-surgical infection and retinal detachment.
  
  

Recurrence

• In very rare instances, a macular pucker grows back. This regrowth usually occurs as a result of the healing process reactivation. When a macular pucker grows back, it appears that the body misunderstands the surgery and perceives it to be an injury or retina irritation. This triggers the process that caused the macular pucker initially.