Vitrectomy For Macular Pucker - Grey Vision Patches


Nov 22, 2014

I had a vitrectomy for a macular pucker a year and a half ago. The main symptom was distortion. After the surgery, I had gray patches in my field of vision, which I hoped would go away in time, since the surgeon said it might take a year for full recovery. Needless to say, I still have the gray patches, cannot read with that eye, and the doctor brushed me off without ever explaining what was going on, as did two other ophthalmologists. I developed the expected cataract and had cataract surgery two days ago. It went fine and was "successful," but I still have patchy vision in that eye. Does anyone know anything about it and if anything can be done? I assume it is the damage to the receptors when the scar tissue was pulled up.

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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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Recently went for my annual checkup to my retinal specialist and the  exam revealed a weakness in my right eye. Focus not clear in it,  and wavy lines when reading a grid.  I was surprised at the wavy lines!

Long story short was diagnosed with macular pucker in the bad eye. When questioned about the cause etc was told its from age (I am 70) and there was nothing that could be done to address the degradation in vision.

After researching the diagnosis it seemed there is a surgical procedure to address the scarring and improve vision, but  although it may help it is not a complete cure.

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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.

I've read that, on average, the surgery, if successful, gives you back half of the vision originally lost to the pucker. I think that means I would still need special glasses.

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I have had 5 surgeries on my left eye. It started with a basic cataract surgery that I had cloudy vision issues with, retina detachment, high eye pressure, laser to "fix the pressure issue which did not work, a tube was put in to decrease the pressure which worked and finally macular pucker surgery but the eye collapsed and the Dr. had to inject something into the eye to maintain the shape.... At this point, 2 months after the macular pucker surgery, my vision has not improved and I can only see faint images for distance and can't read anything.

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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Long story but I had a vitrectomy today to get rid of a membrane from post cataract surgery when 2 laser surgeries didnt correct it.

Tonight it felt like something was poking into my eye so I took off the patch just to re-adjust the gauze pad in case it was that that was poking into my eyeball. Well I found my vision really bizarre. Its like my eyeball is tilted on its side. With the 2 eyes its like Im seeing two different pictures on top of each other, one ok and one at least 45 degrees different. There is no way I can walk anywhere like that. Ive put the patch back on and I still have that sharp poking feeling but maybe that's just the op...what do you guys think. Is this normal, will it revolve back around to its normal axis?

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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.

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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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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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I have had one for a few months (perhaps longer, I wasn't aware of what it was) and my first diagnosis was anxiety.

So now I think the anxiety is making me feel off balance and shaky but could it just be the distorted vision that does this to me?

Do you ever get used to it? Mine is 20/40 and I have no decided on surgery.

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No pain or flashing lights. WIll be calling hospital Friday morning (too late tonight)

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