title: Management of macular pucker.
abstract: OBJECTIVE
  To document the outcome of macular pucker surgery in terms of improvement of visual acuity.
  
  
  METHODS
  Interventional quasi experimental study.
  
  
  METHODS
  Ophthalmology Department, Civil Hospital, Karachi.
  
  
  METHODS
  Twenty-two patients with macular pucker underwent surgical repair. Pars plana posterior vitrectomy with epiretinal membrane peeling and internal limiting membrane peeling (maculorrhexis) was carried out. Postoperative follow-up was done for one year. Main outcome measure were visual acuity, causes and ocular complications. Data was analyzed using SPSS Version-10. Non-parametric sign test with chi-square statistic was used to compare the pre-operative and postoperative outcome.
  
  
  RESULTS
  The macular pucker was successfully removed in 18 patients that revealed high statistical significance regarding improvement in visual acuity. Earlier, significant improvement (18 / 22 cases) was observed at three-month postoperative examination (p < 0.0001). Insignificant (9/22) postoperative complications were noted at six-month post-operative follow-up. Metamorphopsia was relieved in 18 patients. Ten patients developed cataract, 4 patients developed increased intra-ocular pressure (transient) and two patients developed retinal detachment.
  
  
  CONCLUSIONS
  Pars plana posterior vitrectomy with epiretinal membrane peeling and internal limiting membrane peeling (maculorrhexis) can successfully remove macular pucker, improve vision and relieve metamorphopsia.
authors.affiliation: Department of Ophthalmology, Dow Medical College and Civil Hospital, Karachi.
authors.forename: Abdur Rasheed
authors.initials: AR
authors.lastname: Khokhar
authors.forename: Khowaja Faiz-Ur-
authors.initials: KF
authors.lastname: Rab
authors.forename: Hafiz Usman
authors.initials: HU
authors.lastname: Akhtar
mesh_terms: D019773:Epiretinal Membrane / Q000601:surgery*; D005260:Female; D006801:Humans; D008266:Macula Lutea / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*