Macular pucker after cataract surgery

Posted by neville @neville, Aug 3, 2011

macular pucker after cataract surgery

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Here is some of the encounter notes from the Kellogg Eye Center. "The sulcus fixated posterior intraocular lens implant is out of the capsular bag and in contact with the Iris." Evidence of sulcus IOL in contact with Iris. I want to add more info but maybe later.

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@hopeful33250

Hello @neville and welcome to Mayo Connect. I see that this is your first post.

I was wondering, if you posted about macular pucker because you are experiencing this or perhaps you know of someone else who has this problem? Did the problem result from a cataract surgery? Also, in what way is vision affected by macular pucker?

If you are comfortable sharing more, please do so. We may have other members who can share with you.

Teresa

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I had macular pucker in both eyes four years apart, not right after cataract surgery. I have had cataract surgery in both eyes, that too,, was two years apart But the macular pucker did happen Ruth after cataract surgery. My Retina Specialist follows my dry Macular degeneration every year and he found the pucker. I had surgery for both. Before I had the second retina surgery , I had an AAION in the same eye and lost vision in that eye for about 3 months. Still don’t know why I had the eye stroke.

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@babsstruck

I had macular pucker in both eyes four years apart, not right after cataract surgery. I have had cataract surgery in both eyes, that too,, was two years apart But the macular pucker did happen Ruth after cataract surgery. My Retina Specialist follows my dry Macular degeneration every year and he found the pucker. I had surgery for both. Before I had the second retina surgery , I had an AAION in the same eye and lost vision in that eye for about 3 months. Still don’t know why I had the eye stroke.

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Hello @babsstruck

I'm glad you shared your journey with macular pucker. How is your vision now?

You said that you had "surgery for both.". Are you referring to surgery for the macular pucker?

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@metermaidman

Here is some of the encounter notes from the Kellogg Eye Center. "The sulcus fixated posterior intraocular lens implant is out of the capsular bag and in contact with the Iris." Evidence of sulcus IOL in contact with Iris. I want to add more info but maybe later.

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@metermaidman

I'm glad that you were seen again at the Kellogg Eye Center. Is surgery an option to help you?

Please share as you are comfortable doing so.

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@hopeful33250

Hello @babsstruck

I'm glad you shared your journey with macular pucker. How is your vision now?

You said that you had "surgery for both.". Are you referring to surgery for the macular pucker?

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I had surgery for macula pucker in each eye, but the surgeries were 4 years apart. Neither of each was right after cataract surgery. But My cataract surgeries were also 3 years apart. I had an eye stroke 1/30/20. I was already scheduled for eye pucker surgery on 2/9/20. I lost vision in left eye completely for 3 months. Then it started coming back. It came back to 20/40 in that eye. On 10/27/21, I tripped and fell hard into a brick wall and cut forehead and eyelid and cornea. I again lost vision in left eye. It is coming back slowly. I can see out of it, but it is blurred. Luckily, my right eye came back to 20/30 after macular pucker surgery in 2016.

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@metermaidman

Here is some of the encounter notes from the Kellogg Eye Center. "The sulcus fixated posterior intraocular lens implant is out of the capsular bag and in contact with the Iris." Evidence of sulcus IOL in contact with Iris. I want to add more info but maybe later.

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Hello @metermaidman

I was thinking about you and wondering if your vision has improved.

Have any new treatments been suggested?

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My vision has not improved much and the Drs. want me to continue taking these two different eye drops, but with a smaller number of times per day. For 3 weeks 3 times a day, for 3 weeks 2 times a day, and for 3 weeks once a day. Then nothing. I have a follow up appointment at the Kellogg Eye Center on April 5th. If the edema and fluid is good they may do a laser surgery to clear up the haze behind the lens. The capsular bag is torn and I asked if it could be repaired and they indicated it was not good. So I`m headed south to Nicaragua for a break and warm weather.. I do hope I get this fixed , at least as good as before this cataract surgery was done. Thanks for your thoughts.

REPLY
@hopeful33250

Hello @neville and welcome to Mayo Connect. I see that this is your first post.

I was wondering, if you posted about macular pucker because you are experiencing this or perhaps you know of someone else who has this problem? Did the problem result from a cataract surgery? Also, in what way is vision affected by macular pucker?

If you are comfortable sharing more, please do so. We may have other members who can share with you.

Teresa

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Yes, I am comfortable giving more detail about my condition. Thank you.

REPLY
@hopeful33250

Hello @neville and welcome to Mayo Connect. I see that this is your first post.

I was wondering, if you posted about macular pucker because you are experiencing this or perhaps you know of someone else who has this problem? Did the problem result from a cataract surgery? Also, in what way is vision affected by macular pucker?

If you are comfortable sharing more, please do so. We may have other members who can share with you.

Teresa

Jump to this post

Hello. My ophthalmologist indicated my puckered retina is not from cataract surgery, I wonder about it. My wavy vision is probably worsening and perhaps next time I see him this spring he will ask about going forth with surgery. He has told me it is entirely up to me, he can't advocate one way or another. I have read that surgery does not improve, only stabilizes to which he disagreed. A vitrectomy is what I believe it is called. My question for anyone dealing with a wrinkled retina is if they had the surgery, how it went, did it help, etc. I would like to see more clearly, that is for sure. Also, a cataract is developing in the other eye and I hate the thought of getting that corrected and possibly ending up with this condition in the other eye. One ophthalmologist told me the cataract surgery which is a shock to the eye could have caused the wrinkle, another one told me it would not cause the wrinkle. Any comments would be appreciated. Thank you.

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@maenbrr7

Hello. My ophthalmologist indicated my puckered retina is not from cataract surgery, I wonder about it. My wavy vision is probably worsening and perhaps next time I see him this spring he will ask about going forth with surgery. He has told me it is entirely up to me, he can't advocate one way or another. I have read that surgery does not improve, only stabilizes to which he disagreed. A vitrectomy is what I believe it is called. My question for anyone dealing with a wrinkled retina is if they had the surgery, how it went, did it help, etc. I would like to see more clearly, that is for sure. Also, a cataract is developing in the other eye and I hate the thought of getting that corrected and possibly ending up with this condition in the other eye. One ophthalmologist told me the cataract surgery which is a shock to the eye could have caused the wrinkle, another one told me it would not cause the wrinkle. Any comments would be appreciated. Thank you.

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Hello @maenbrr7 and welcome to Mayo Clinic Connect. I can imagine your confusion regarding your vision problems. It seems that different doctors have given you opinions that are not consistent which certainly makes it hard to decide what to do next.

On Mayo Connect we have a member discussion on Vitrectomy. Many of these members had the surgery for floaters or other types of problems but you might find their discussion helpful. Here is the link to those discussions, https://connect.mayoclinic.org/discussion/floaters-only-vitrectomy/

Here also is some information from the HealthLine website regarding vitrectomy, https://www.healthline.com/health/vitrectomy

Have you sought a second opinion at a well-known eye institute about your next steps? These types of medical centers do a lot of research and are good places to get both a good diagnosis and treatment plan for difficult health problems. Getting a second opinion is important and getting that opinion from the best source possible is very important.

Do you live near a renowned eye center? Perhaps one that is part of a university medical school, or a large medical facility like Mayo Clinic?

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