Macular Pucker vs Macular Hole

Anonymous said...

Four years ago I was diagnosed with a macular pucker..at that time i do no recall the Dr. recommending surgery. during the past month my sight deteriorated drascally. last week dr said i had a hole in my macular and surgery was necessary. he thought this was fairly new. would i have got this hole if i would have the pucker repaired.

December 31, 2009 7:16 PM

Dear Anonymous:

There are several factors surgeons use for determining the need for surgery; one of the most obvious to the patient is visual acuity loss. No surgeon is going to be anxious to surgically enter an eye that is still seeing well unless there is an obvious potential for vision loss. Some macular puckers can spontaneously resolve while others can progress to a macular hole, unfortunately it sounds like you have experienced the latter. The good news is a fresh hole has a higher chance of successful repair.

Toni Kelly

Kelly Comfort Solutions