I have just been diagnosed with macular puckers in my left eye. My vision (with glasses) is around 20/50. I first noticed changes in my vision 3 years ago and after several prescription changes on my bifocals I went to an ophthalmologist in January 2013. We tried eye drops for 2 months with no improvement so I was sent to a retina specialist. He presented surgery as the only treatment, but could give no definitive answer on how beneficial it would be and also predicted a 100% chance of needing cataract surgery from 6-12 months after the initial surgery. He also recommended I get the surgery within 2 months. I have read many stories about the problems people have had with this surgery, but have found no success stories. I have worn corrective lenses most of my life (I am 59) and it scares me to think what vision I do have could be lost or greatly diminished. I guess my question is: Is 20/50 vision something I could just live with and will it get worse over time? From my understanding my vision shouldn't get any worse at this point so I'm not understanding why it is critical that I do the surgery within 2 months.
If your right eye has good vision, and you are functioning well, there is no immediate need for surgery. The specialist probably recommended the surgery since the drops did not resolve any macular edema (fluid) present. The pucker can get worse but usually not rapidly. If your left eye already has a cataract, it might be better to remove the cataract first, and see if there is any vision improvement. If you are happy with the result of cataract surgery, then you can hold off on the vitrectomy. Get a second opinion from another retina specialist, and also have a PAM test (Potential Acuity Meter) done. This will give an idea of the retina potential if there is a cataract present. It is true that vitrectomy and pucker removal does cause a cataract or accelerate cataract progression.
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