Vitrectomy techniques in treatment of macular pucker following retinal reattachment surgery

Vitrectomy techniques to remove epiretinal membranes causing macular pucker and reduced vision were used to treat 11 consecutive eyes with macular pucker after otherwise-successful retinal reattachment surgery. A technically successful result with visual improvement was achieved in each case. An iatrogenic retinal tear occurred in eye, and recurrent retinal detachment requiring an additional operation occurred postoperatively in 2 eyes. Despite such risks, and the fact that the best postoperative acuity achieved was 20/40, the use of vitrectomy methods in removal of epiretinal membranes in selected cases of macular pucker can provide significant improvement in vision.