A macular pucker is a thin layer of scar tissue that forms over the macula and may make straight lines look wavy or central vision appear blurred. A macular hole is a small opening in the center of the macula that can also reduce or distort central vision. These conditions often develop as the eye’s natural gel changes with age, although they may also follow inflammation, injury, or other retinal problems.
Retinal imaging helps distinguish these conditions and measure their effect on the macula. Mild cases may be monitored when daily activities are not significantly affected. If symptoms are more limiting, vitreoretinal surgery may be considered to relieve traction or remove scar tissue, based on the examination and the patient’s goals.