Eye :: Macular Pucker Worsened After Cataract Surgery


Mar 22, 2016

On Jan 6 of this year my ophthalmologist advised me I had a macular pucker in my right eye.  During that visit and prior to her diagnosis I received an eye chart test in which I noticed for the first time that straight lines were slightly wavy in the right eye.  

My doctor’s diagnosis was that the  same right eye had a cataract and I should see an eye surgeon to discuss possible surgery.

A month later I had the cataract surgery and was on a regimen of eye drops (pred Forte & Ilevro)
(one week prior and three weeks after the surgery).

On 3/21 (my last post op visit) I mentioned that the cataract surgery has improved the vision in the right eye but I have noticed the waviness of straight lines due to the macular pucker in the same eye seems a little more pronounced.   I was given a test to see if the pucker had  worsened and was told it had but only slightly  (foveal thickness was 429 from  437 on Feb 6

I was also told to continue with the pred forte but increase to 3 times a day and the ilevro twice a day.

The doctor said it was possible the cataract surgery may have affected the pucker a little and that I should see a retinal specialist in several weeks  to learn if the pucker size had changed further.

Am looking for a second opinion on this course of action and to see if anyone has had a similar experience with cataract surgery affecting a macular pucker

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Apart from one hour after surgery when my sight in the right eye appeared wonderful I have been unable to see properly. All detail is blurred; I can see my outline three feet from a mirror but no detailed features; straight lines are distorted; (i.e. door frames picture frames etc) and vision from this eye appears to be via a green glass window.

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I would love to hear stories of how this surgery turned out for you.

Mine, diagnosed last Aug. and on a recheck found it to be slightly worse so they recommend surgery to fix it. I was seeing 20/40 and she didn't say what it was on this recent appt. I can tell it's worse.

Is it worth the risks of surgery to repair this? I've read that if it gets worse the correction will not work as well. If done early success is more likely.

The risks scare me. Infection, Retina detachment, double vision.....

How can I decide if this is right for me?

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I have had a macular pucker in my right eye for three years. It's not terrible, just very frustrating. It has been changing only a little from year to year.

I have not wanted to try vitreous surgery for epimacular membranes (macular pucker 'repair') because of the risk of some of the receptor cells being damaged as the scar tissue (epimacular membrane) is pulled off the macula. I don't want blind spots.

Yesterday an optometrist told me that I risk getting those same blind spots by not having the surgery - because the scar tissue is pulling the receptor cells away from their blood supply.

Is/are there any data or studies that compare the risks of having the surgery with the risks of not having the surgery - as regards damage to the macular cells?

I know that development of cataracts is a well known complication of having the surgery. And having to risk cataract surgery is another reason I have for resisting the pucker repair.

I am seriously considering getting glasses that adjust for my main problem (things look 15% bigger in my right eye). This condition, caused by the membrane, is called aniseikonia and can be compensated for by getting glasses that minimize the image in my right eye.

If the risks of surgery, and there are many, are greater than no surgery, special glasses will be my choice.

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The cataract and laser surgery was performed by an ophthalmologist and all of the other procedures was done by a retina specialist.

My retina Dr. is saying that the eye is still swollen and recovering from the "collapse" and it will take time before my sight begins to improve

Is there anyone who has had the same issues?  Any suggestions?

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Over a year ago I noticed a change in my vision. It was diagnosed as a macular pucker. I repeated a visit to a retina specialist and she recommends surgery to repair it at an early stage rather than waiting until it gets worse. I live in a large metro area with great doctors and the one I see has good marks.

I can see 20/40 in the bad eye and just fine in the other one. I do wear glasses though. I can tell that my vision is weird as it tries to blend the 2 eyes together but it doesn't stop me from living a normal life.

So, is it worth it to have the surgery like they say or can I just wait it out? If it never changes from what I have I will be fine. I fear the bad results possible with surgery. Why risk a bad outcome and a worse problem than I have now?

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At that time I went to a retina specialist who said he would do the surgery but most people wait until they can no  longer drive. Also the surgeon was my age and I don't want someone my age doing the surgery so I started seeing another retina specialist and she agreed that we would keep watching it and wait until it got worse. Last June when I saw her she said my vision in that eye is getting worse and if it continues to decline at the same rate of speed she would recommend the surgery in one year. She also gave me an eye chart and said to check it once a month and if getting worse to call her. Well it has gotten slightly worse and I have an appointment with her this june so I am sure she will want to do the surgery but it hasn't effected my life style at all . I can read the newspaper although I am sure it is my right eye doing most of the work. I don't have any problem driving although I cant see as well at night  as I could when younger but I feel that is natural for my age group. I don't have double vision or any blind spot in my eye. She also removes the cataract at the same time which I know all doctors don't seem to do. my biggest problem , is I am a widower and don't have anyone to take care of me during the week or two of face down recovery. I guess I would have hire someone to come in. So I am wondering why I should go through all this for maybe a slight improvement in my left eye seeing fine print?

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The feeling is rather like when many years ago I wore contact lenses and I put one in wrongly.

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