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 ?
Patients after PRP may develop visual field loss, diminished vision secondary to macular edema, serous retinal detachment, epiretinal membrane and macular pucker.
Unlike cellophane maculopathy where vision can remain relatively unaffected, macular pucker typically causes reduction in vision to 6/12 or worse, with associated metamorphopsia.
4, and hypotropia, limitation of upgaze, and macular pucker were detected.
Complication of Laser Photocoagulation (11, 12, 13) These include accidental foveal burns, macular edema and macular pucker, pre-retinal fibrosis, hemorrhage from retina and choroid, tractional retinal detachment, retinal hole formation, ischaemic papillitis.
Other applications of OCT in ophthalmology include retinal pigment epithelial detachment, epiretinal membranes (ERM)/ Macular pucker (cellophane maculopathy), vitreomacular traction, rhegmatogenous retinal detachment, macular pseudoholes, lamellar holes, full thickness holes, retinoschisis, age related macular degeneration, choroidal neovascular membranes, retinal angiomatosis, and disciform scars / subretinal fibrosis, etc.
If the macular pucker is severe, a vitrectomy can be performed to remove vitreous gel and macular scar tissue and improve the vision.
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.