macular pucker

macular pucker

A wrinkling and eventual scarring of the retina in the macular area, resulting in visual distortion.
Synonym: premacular fibrosis; cellophane maculopathy

fibrosis, preretinal macular

Proliferation of glial cells over the surface of the internal limiting membrane of the macular region of the retina. Ophthalmoscopically the retina presents a glinting reflex. The condition may occur after trauma, eye surgery, retinal vascular disease (e.g. branch retinal vein occlusion) and inflammation and with any of the causes of retinitis proliferans and most commonly in elderly patients. Initially the patient is asymptomatic or reports some distortion of vision (metamorphopsia). This stage is often called cellophane maculopathy. As the condition develops, visual acuity diminishes, there is retinal wrinkling and the preretinal membrane becomes denser obscuring some retinal vessels in ophthalmoscopy. Some patients may also develop a macular hole and posterior vitreous detachment. If vision is significantly reduced, the main treatment is by vitreous surgery with removal of the layer of preretinal proliferative tissue. Syn. epiretinal membrane; macular epiretinal membrane; macular pucker; premacular fibrosis; preretinal membrane; preretinal vitreous membrane; surface wrinkling retinopathy. See proliferative retinopathy.
References in periodicals archive ?
Other macular injuries documented in the study included hemorrhages in different retinal layers, a macular pucker (when cells proliferate on the surface of the retina, causing visual impairment), a retinal disruption and a cavity in the retina.
If the macular pucker is severe, a vitrectomy can be performed to remove vitreous gel and macular scar tissue and improve the vision.
Mild macular pucker and macular thickening were also noted, as was sheathing of the retinal veins.
These include diabetic retinopathy, macular degeneration, retinal vascular disease, retinal detachments, macular pucker, surgical complications, uveitis, and second opinions.
ERM, also known as macular pucker or cellophane maculopathy, is an avascular, fibrocellular membrane which grows across the macular area.
A macular pucker is caused by thickening and contraction of the epiretinal membrane.
Treatment of epiretinal membranes causing macular pucker is by surgical removal of the membrane.
OCT- SLO are shown combined to good effect for imaging macular pucker and vitreoschisis.
com ) is a Dallas-based leading supplier of durable medical equipment and other quality products for extended facedown recovery from vitrectomy surgery such as diabetic retinopathy, diabetic retinopathy, vitreous hemorrhage, hemolytic glaucoma, macular hole, macular tear, macular pucker, central vein occlusion, retinal detachment, retinal tear and other eye-related procedures.
The standard surgery for macular pucker and macular holes involves the insertion of microforceps into the eye to peel away the EMP and/or ILM that is causing distorted vision (figures 4 and 5).
In a study of eleven patients at the HEALTHSOUTH Medical Center in Birmingham, Morris and Witherspoon used the new technique to completely remove the wrinkled EMP/ILM complex in cases of macular pucker and macular hole.