Facing vitrectomy for macular pucker. What was your experience?

Posted by sregiani @sregiani, Feb 9, 2024

Hi, 71 yo woman and had cataract surgery almost 2 years. Several months ago the vision in my right deteriorated. Cloudy, hard to focus. I tried contact lens, but nothing worked. My eye doc referred me to a retinal surgeon for vitrectomy. Wanting to avoid the holidays. I put it off for a few months, but now harder to see and drive, esp at night. Last month’s recheck showed it has advanced, and the only solution is a vitrectomy. I’m planning to do this next month (traveling now).

Can you share your experience? How long was healing? Was it worth it?

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@sregiani

Oh, boy, I hear you! I learned I had an Epiretinal Membrane when they were doing the measurements for my right eye cataract removal. That surgeon said if it didn’t bother me, not to worry. It did stop him from doing the triple implant - near/mid/far distance. Mine is mid and distance only. All seemed well for 2 years.
My optimetrist said removing the cataract “probably” didn’t affect my macular pucker. Some people have these for years and never know because their vision is fine.

Like you, I still wonder about the coincidence. We will never know.

Do you have the same issue with your other eye? I did end up having the other cataract done after the first. The left eye was successful. Hope yours will be, too.

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I had cataract surgery in my right eye. Within days I was diagnosed with wet macular. I remember while waiting my turn for the surgery, an anesthesiologist said to me don't mess with your eyes. I almost canceled but stupidly didn't.

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Sadly, my right eye has gotten worse. I’ve scheduled the vitrectomy for a couple weeks from now.
I think you’re anesthesiologist had the right idea. If you don’t have to, don’t mess with the eyes.

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Sorry, but I only have myopia with astigmatism progressing into further ado of my nearsightedness. When I was younger, I sometimes focused in on things that were floating on my eyeball surface, just outside the lens. I do have a Brother that has glaucoma and my Mother used to insist that he had a bit of hemophilia. My eyesight hasn't changed much in the past ten to fifteen years. Am developing two cataracts, one a tiny bit worse than the other, but nothing pressing. I wear the photo-gray lenses (do they call these polarizing lenses?). Thanks for the like on red dyes.

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I have a macular pucker in my left eye. I am 75. Am curious about the head down requirement post op. I can't sleep face down due to my back injuries. How have those who have had this surgery handled it?

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@eremite24

I have a macular pucker in my left eye. I am 75. Am curious about the head down requirement post op. I can't sleep face down due to my back injuries. How have those who have had this surgery handled it?

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Did your surgeon say you’d need to keep your head down, or did you read that online? I saw several treatment sites saying the head down post was standard. My surgeon disagreed and said not in my case.
I had a vitrectomy with membrane peel 2 weeks ago. My surgeon did not have to place a “bubble”, so I did not have to keep my head down at all.
Four different eye drops 4x day for the first week and no lifting anything heavier than a gallon of milk for the first 2 weeks. Also, no bending aside from tying shoelaces and no travel by air.
At the 1 week post op, I was doing so well that drops were changed to 3 drops 3 times a day, and to gradually increase activity till I was back to my normal routine by the end of the week. Within days, my vision improved dramatically.
Now, I did have this done about 6 months after confirmed diagnosis of ERM with macular pucker. It was right in the middle of my central vision.
Hopefully your case will go smoothly!

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@eremite24

I have a macular pucker in my left eye. I am 75. Am curious about the head down requirement post op. I can't sleep face down due to my back injuries. How have those who have had this surgery handled it?

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Sleep: you’ll have a patch over your eye for at least the first night. I did use it for the second night, then was fine without.
Can you sleep on your side? I try to sleep on my left side, so as to be kind to my healing right eye.
Suggest you call your surgeon’s office and ask their advice 🙂

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@sregiani

Did your surgeon say you’d need to keep your head down, or did you read that online? I saw several treatment sites saying the head down post was standard. My surgeon disagreed and said not in my case.
I had a vitrectomy with membrane peel 2 weeks ago. My surgeon did not have to place a “bubble”, so I did not have to keep my head down at all.
Four different eye drops 4x day for the first week and no lifting anything heavier than a gallon of milk for the first 2 weeks. Also, no bending aside from tying shoelaces and no travel by air.
At the 1 week post op, I was doing so well that drops were changed to 3 drops 3 times a day, and to gradually increase activity till I was back to my normal routine by the end of the week. Within days, my vision improved dramatically.
Now, I did have this done about 6 months after confirmed diagnosis of ERM with macular pucker. It was right in the middle of my central vision.
Hopefully your case will go smoothly!

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Haven't seen a surgeon yet. When diagnosed by my optometrist, he mentioned the head down thing. I figured that would be a no go for me. I do plan on seeing a ophthalmologist soon for an opinion and detailed exam.

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@1995victoria

I was diagnosed with macular puckers 12 years ago. I few weeks ago, I had cataract surgery on left eye, and had initial elevated eye pressure post-surgery and also words/letters wavy now, whereas before surgery words/letters were not wavy. I was wondering if this could be the result of temporary inflammation or as the Dr suggested having enhanced symptoms from the macular puckers as result of cataract removal. Has any one else had a similar experience? Everyone said that cataract was most successful, but now I'm afraid to have on my other eye. In order to read I have to read with my left eye closed, so lines are straight.

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Similar to what I am going through. I have the epiretinal membrane in my left eye, probably from cataract surgery and it is getting worse. Everything is a little blurry when reading. I often close the eye to see more clearly as you mentioned doing. My specialist said that as I have scar tissue in the eye he can't operate!? So what happens, it gets worse and worse and nothing can be done. I'm rather depressed about it as you can tell. I have an appointment in June, I'll see what he says. I'm wondering if anyone else with this problem has been told about scar tissue and if it was resolved. Thank you.

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I (76 female) had vitrectomies in both eyes at Mayo Jacksonville due to macular puckering caused by Pseudoexfoliation Glaucoma. It worked out well although it takes a while to settle down afterwards.

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