J Korean Ophthalmol Soc.  1995 Sep;36(9):1529-1535.

A Clinical Study of Macular Pucker after Retinal Detachment Surgery

• Kim KH
• Heo JW
• Kwon OW

Abstract

A retrospective analysis of 122 consecutive of rhegmatogenous retinal detatchment cases which obtained successful surgical results was performed. All the cases were followed for longer than 1 year postoperatively. 15 eyes (12.3%) developed macular pucker. There was no significant difference in sex distribution and mean age was 43.7 years. The mean lapse time between surgery and the development of macular pucker was 7.2 months. Significant factors for developing macular pucker were multiple operation, preoperative macular detachment, and duration of retinal detachment (longer than 1 month). Other factors such as subretirial fluid drainage and myopia were not significant. 9 of 15 eyes with macular pucker were treated with vitrectomy and visual acuity improved in 66.7% of surgically treated eyes. These results suggest that success with single surgical procedure, operation before macular detachment, and early treatment of retinal detachment are important for preventing postsurgical macular pucker.

Keyword

Macular pucker; Rhegmatogenous retinal detachment; Vitrectomy

MeSH Terms

Drainage
Myopia
Retinal Detachment*
Retinaldehyde*
Retrospective Studies
Sex Distribution
Visual Acuity
Vitrectomy
Retinaldehyde