Winkle on my macula s/p retinal detachment surgery

Hi

I was wondering if anyone out there had retinal detachment surgery, started having wavy lines in there vision after almost 3 wks after surgery was told they had a winkle on the macula, Did it go away on it's own how long did it take ?? If not  did you get a new lens for your glasses and  did this help or did you get another surgery to remove the winkle and was that successful ???

Thank you for anyone 's help

[Ray T Oyakawa, MD]

You probably have an epiretinal membrane,  if vision is moderately affected surgery will be needed for removal.

Dr. O.

[EYESIGHT007]

Hi

Thank you for responding to my posting, I could not find much information r/g winkles or striae on the macula, after sugery, Is the surgery really risky, Is there anyway new lens will fix or change the problem at all, To describe the vision change in more detail, the surgery eye sees  things thinner with alittle waveness to the edges, but I think the vision his around 50 with correction but I am not sure, I am drinking lots of carrot juice and wheat grass and started special eye vitmanis, and resting the eye with a patch several times a day, I still have 1 week left of the steroid eye drops, Do you have any other suggestions??

Thank you for you time!!!

God Bless Cheryl

[Candace888]

Hi,
I developed a macular pucker after my detachment surgery.  It is getting slightly better on it's own a little at a time.  The wavy lines got very bad for a while, they were worse as a cataract developed as well.  After my cataract was removed, the wavy lines improved and have improved even more in the past 6 weeks.  My vision is still poor as I still have scar tissue on the capsule that my new lens sits in.  I am awaiting treatment with the YAG laser in October to see if they can improve my vision with that.  My retinal specialist and the Mayo Clinic Website say that occasionally macular puckers can get better on their own.  My retinal doctor has suggested that I wait a while and let the body try to fix this before we do surgery again as he is worried about developing more scar tissue.  

[JodieJ]

I had two surgeries to peel the same epiretinal membrane (aka macular pucker), for which I consulted several retinal surgeons.  Some of the information they gave me was just plain WRONG (or rather, inconsistent with recent research).  It is unlikely that your macular pucker will further reduce your acuity (i.e., your ability to read a line on an eye chart with one eye).  However, there is growing evidence that it will cause further macular wrinkling over time, which may permanently reduce your stereoscopic (3D) vision.  One researcher gave a duration of symptoms of 10 months as the marker for permanent macular damage.  (I'll gladly provide citations in the literature on request.)  So please don't delay your decision about whether or not to have surgery for too long.  If you do opt for ERM surgery, please choose a surgeon who has lots of experience with this particular procedure.  A surgeon who is hesitant may not be your best choice.  If you can travel, I'd highly recommend Dr. Steve Charles in Memphis.  His website contains good information about this condition.

[Candace888]

Hi Jodie,
Thank you for the information, will you please give me the information link about the research with 10 months and permanent damage?
Thank you!

[JodieJ]

There are numerous references in the literature to the possibility of permanent macular damage secondary to an ERM.  You can download "Vitrectomy for Epiretinal Membranes:  Visual Outcome and Prognostic Criteria" by Geerts et al. (google the title).  Another very interesting study ("A Prospective Study of Binocular Visual Function before and after Successful Surgery to Remove a Unilateral Epiretinal Membrane", 2008, Asaria et al) is available online in abstract only.  If you provide an email address in a personal message, I'll send you the entire article.

[EYESIGHT007]

Thank you for responding to my Question.

From Eyesight007

[EYESIGHT007]

Thank you for all the information, Good luck with your vison issues!

God Bless !  

Eyesight007

[EYESIGHT007]

Thank you for leaving that helpful information, Good luck with you surgeries !


God Bless !  

eyesight007