I have macular puckers in both eyes for more than 15 years. I never noticed any symptoms until I had cataract surgery last Feb. Slowly my brain has adjusted, but the IOL didn't help my vision. I've been nearsighted all my life, and the IOL is sort of middle distance, so I can't see close any more. I told Dr I wanted to be able to thread a needle, but he didn't listen, just put in a lens off the shelf, it turns out he should have ordered a special close vision lens. I'm glad my right eye can still see close so I can thread a needle by closing my left eye.