Microsurgical management of macular epiretinal membranes (macular pucker).

Surgical management of selected macular epiretinal membranes is possible through the use of microsurgical pars plana vitreoretinal membranectomy. Visual improvement can be significant with resolution of traction retinal detachment and retinal distortion. Complications are similar to other forms of vitreous surgery. In a series of 9 selected cases with severe reduction of visual acuity secondary to macular pucker, microsurgical membranectomy was performed with encouraging results.