Macular Pucker Surgery
Macular pucker (also knows as Epiretinal Membrane or ERM) happens when wrinkles, creases or bulges form on your macula. The macula must lie flat against the back of your eye to work properly. When the macula wrinkles or bulges, your central vision is affected. With macular pucker, things can look wavy, or you may have trouble seeing details. You might notice a gray or cloudy area in your central vision. You may even have a blank spot in your central vision.
Aging is the most common risk factor for macular pucker. People who have other eye problems may also get a macular pucker.
Causes of MP
Age is the most common cause of macular pucker. As you get older, the vitreous begins to shrink and pull away from the retina. People who have other eye problems may also get a macular pucker. These problems include:
- Vitreous detachment, where the eye’s vitreous pulls away from the retina
- Torn or detached retina
- Swelling inside the eye
- Serious damage to the eye (from surgery or injury)
- Problems with blood vessels in the retina
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Macular pucker is diagnosed through a dilated eye exam by an ophthalmologist and can be confirmed using optical coherence tomography (OCT). With OCT, a machine scans the back of your eye. This provides very detailed pictures of the retina and macula. If symptoms are severe the best course of action will be to get macular pucker surgery.
If your symptoms are mild, you might not need any treatment. Instead, you may need to change your glasses or contact lens prescription to improve your vision. Eye drops, medicine, and laser surgery do not help vision if you have macular pucker. Macular pucker surgery called vitrectomy is the best way to treat macular pucker patients with severe symptoms. We remove the vitreous gel that is pulling on your macula and scar tissue on your macula. This flattens the macula, returning it to its proper position. It is likely your vision will slowly improve. However, your sight may not be as good as it was before macular pucker.
01.Refractive Surgery & Lasik
Your eyes deserve the best precision and clarity.
Inside our eyes, we have a natural lens. The lens bends (refracts) light rays that come into the eye to help us see.
03.Age-related Macular Degeneration
Age-related macular degeneration (AMD) is a problem with your retina. It happens when the central part of the retina called the macula is damaged.
Diabetic retinopathy is a potential complication in patients with Diabetes.
05.Retina Vein Occlusion (RVO)
Arteries and veins carry blood throughout the eyes. The eye has one main artery and one main vein that each have multiple branches.
06.Floaters & Flashes
You will need a dilated eye exam if you have new onset of or changes in floater size or quantity or if you see flashes of light.
07.Retinal Tear & Detachment
The retina is the light-sensitive tissue lining the back of our eye. The retina converts the light rays into impulses that travel through the optic nerve to our brain, where they are interpreted as the images we see.
Macular hole is when a tear or opening forms in your macula. As the hole forms, things in your central vision will look blurry, wavy or distorted.
Macular pucker (also knows as Epiretinal Membrane or ERM) happens when wrinkles, creases or bulges form on your macula.
Uveitis occurs when the middle layer of the eyeball gets inflamed (red and swollen). This layer, called the uvea, has many blood vessels that nourish the eye.
Glaucoma is a disease that damages your eye’s optic nerve. It usually happens when fluid builds up in the front part of your eye.
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Dr. Malihi is board certified in Ophthalmology and a fellow member of the American Academy of Ophthalmology (AAO), American Society of Retina Specialists (ASRS), Oregon Academy of Ophthalmology (OAO) and the American Academy of Facial Esthetics (AAFE) . He is the founder of NELSI, INC., an eye care center in Portland, Oregon.
"Dr. Malihi is awesome, very professional, compassionate, and caring, and has the most respect for his patients. He makes everything easy to understand. He was careful to show me the photos of my eyes and what they mean. I really appreciated the time he took to make sure that he provided a thorough exam rather than rushing through a basic exam to get me out the door... and his ability to make the exam enjoyable. Highly recommended :)"
"Excellent doctor and staff. They were kind, on time, and didn't rush through the appointment. Dr. Malihi has a great manner and calming presence. I highly recommend!"
"I visited NELSI for a second opinion and found Dr. Malihi to be very professional, candid, and respectful of his peers. I'd recommend his office to anyone!"
"My wife and I were referred to DR. Malihi by a friend , If you are looking for a best Ophthalmologist in Portland, this is the place. Extremely warm and welcoming environment. DR. Malihi takes his time with you, explains the issues and treatment so you really understand. The best part, his treatments are done with care highly recommended."
"The staff and Doctor are very kind and knowledgeable. My daughter had to have her eyes dilated due to a possible illness. We were both very scared our Doctor made us feel like we had known him for years. He was able to find a problem and explain to us and show us without frightening us what the situation was. I recommend this to anyone that needs their eyes checked."
"I had a very pleasant experience at Northwest Eye Laser & Surgery. Dr Malihi was very professional. His office has more advanced equipment that my last eye doctor's office, that seem to streamline the appointment. I will be happy to return to this office for my next check up."
"Nelsi has been very good to me and always listened to my concerns with care. I recommend this office to everyone needing an eye specialist!"
"Good experience! Receptionist was efficient and considerate. Was able to get in on short notice. Dr Malihi was very professional. Started with questions on history and moved on to exam and diagnosis. Very methodical and thorough! Thank you for your time and efforts!"
"I am very pleased with the way that he fully checked and considered all the aspects and especially his excellent explanation and communicating with me, I appreciate him for his his treatment and recommend him to all."