Macular Hole/Pucker

A macular hole is a small break in the macula which is located in the center of the retina. The macula is responsible for providing the sharp vision need for seeing fine detail. They generally occur in individuals over the age of 60 and can result in blurred vision and distorted central vision.

As we age the fibers on the surface of the retina shrink and pull away from the surface. Often when the fibers pull away it creates a "hole". Natural fluids fill the hole and seep into the macula resulting in distorted vision.

Some macular holes seal themselves, while others require surgery to help improve vision.

A Macular Pucker also results when the fibers pull away from the surface, however in such cases there is damage to the surface of the retina. The retina begins to heal the damaged portion resulting in scar tissue. The scar tissue contracts causing the retina to wrinkle or pucker resulting in blurred or distorted vision.