The condition occurs when the macula, which is situated flat along the back of the eye, creases, bulges, or forms wrinkles. This has to do with the aging process and the tendency of the gel-like vitreous substance in the center of the eye to diminish and move away from the retina.
Detecting macular pucker involves the ophthalmologist performing a retina examination, often through the use of photographic methods such as optical coherence tomography or fluorescein angiography. If mild symptoms are present, the solution may be as simple as updating the eyeglass prescription. In more severe cases, the surgical procedure vitrectomy may be recommended.