Tuesday, November 1, 2011

Cataract Surgery & Macular Pucker

Question: Can Cataract Surgery cause or result in Macular Pucker or Wrinkled Retina?

Answer: A Macular Pucker or Epiretinal Membrane can occur due to changes in the Vitreous whereby cells converge in the Macular area creating a tight transparent layer that can cause the Retina to "pucker" like a piece of "cellophane wrap" when it is under tension. This may result in a "bowing" or "bending" of vision.

It is remotely possible that Cataract Surgery could lead to a spontaneous Vitreous Detachment-which is generally benign-which could then lead to a Macular Pucker. What is much more likely is that a fine Epiretinal Membrane existed before the Cataract Surgery and after the Cataract Surgery if a tiny amount of Macular Edema (swelling) was present it could have gotten trapped by the Epiretinal Membrane and caused the pucker. Some Cataract Surgeons order an Ocular Coherence Tomography (OCT) test routinely before the surgery in order to be sure there are no fine membranes present-and some do not as it is often not covered by insurance or Medicare when there is an otherwise "normal" Retinal exam and many patients complain about the added out of pocket expense.

Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.

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