Detection and monitoring of macular pucker and holes

A very common occurrence as one ages is the formation of a thickened, wrinkled epiretinal membrane attached to the retina, thus causing the retina to wrinkle and distort along with it. We call this condition surface wrinkling maculopathy, macular pucker or cellophane maculopathy. It may be associated with related conditions such as vitreomacular traction or macular hole. These conditions may cause blurring, distortion and/or change in the size of the image seen.

Patients may be unaware that they have one of these conditions, or they may assume that their blurring is coming from a cataract. It is important prior to cataract surgery to make sure that the blur is indeed coming from the cataract and not from other conditions such as these macular conditions. Fortunately, these conditions can be easily identified and monitored with ocular coherence tomography (OCT).