This 45YO male underwent vitrectomy with silicone oil for a recurrent rhegmatogenous retinal detachment (RRD).
Although the retina remained attached, he developed a severe macular pucker postoperatively. Removal of the silicone oil with membrane peeling is planned in the near future.
Learning Points:
Macular pucker following vitrectomy for RRD develops clinically in about 10% of patients (Katira et al, Retina 2008;28:744-748), with the incidence likely being higher than this using OCT.
Half of the eyes developing macular pucker can occur after the first postoperative year (Szigiato et al, International Journal of Retina and Vitreous 2022;8:70).
