Can Cataract Surgery Make Macular Pucker Worse?

Having cataract surgery is not a bad thing, but there are certain precautions that you should take. These include not wearing contact lenses for a few days and taking specific vitamins. It is also essential to note that you should not get cataract surgery if you have macular pucker, as your cataracts can make your macular pucker worse.

Dislocated Intraocular Lens

A dislocated intraocular lens (IOL) is a rare complication during cataract surgery. Although this is not painful, it can result in decreased visual acuity and may increase the risk of retinal detachment. Fortunately, treatment is available for this complication. The best treatment for a dislocated IOL depends on the degree of the shift. For example, a slight shift may require a simple change in prescription glasses, but a complete dislocation may require surgery. Although there are many reasons that a lens can dislocate, it is most likely a result of a capsular bag defect. Additionally, inflammation, atopic dermatitis, pseudoexfoliation, and prior vitreoretinal surgery all increase the risk of capsular bag instability. Fortunately, most patients can achieve good visual outcomes with careful pre-and postoperative care. However, some complications can arise, including infection, bleeding, and retinal detachment.

Repairing a Dislocated Intraocular Lens

The first and most apparent is that a dislocated intraocular lens should be removed. This is generally accomplished through pars plana vitrectomy. After the surgery, the patient will be advised to take it easy for the first week. After two weeks, patients can resume regular physical activity. A second option for repairing a dislocated IOL involves exchanging the IOL with a new lens. However, this procedure is more complex and has a higher risk of complications. One option for repairing a dislocated IOL is simply holding the lens to the iris with sutures. This will prevent further movement of the lens, but it will also increase the risk of tilting or recurrent dislocation. In addition, the original lens was not designed to be sutured, which can lead to complications such as bleeding and inflammation. A third option for repairing a dislocated lens involves placing a new lens in front of the iris without dislocating the lens. This can be done in two ways: by putting the lens in front of the iris or placing it in front of the iris with capsule support. In either case, the goal is to reduce the risk of retinal detachment and improve visual acuity. These options are relatively simple and can be done using minimal surgical incisions. The decision to repair a dislocated lens should be based on the severity of the shift, the patient's eye care history, and the patient's preferences.


During cataract surgery, the eye undergoes trauma and inflammation. This can lead to the growth of scar tissue which causes the macula to pucker and also causes the retina to swell which causes distortion to images and can lead to loss of vision. The eye needs regular exams which can detect eye diseases such as macular pucker and other retinal problems; an ophthalmologist can help diagnose macular pucker and give treatment options with the goal of restoring vision. Optical coherence tomography (OCT) is a test that uses a special camera to scan the retina; it can help determine extent of retinal scar and measure thickness of retina which helps ophthalmologist assess progress of macular pucker and determine if surgery is necessary.

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