In most cases, patients who have a macular pucker have mild symptoms. Epiretinal membranes are frequently found on imaging during routine eye exams. Those with mild epiretinal membranes experience near-normal vision with little distortion. As time passes, the epiretinal membrane or “wrinkle” may gradually tighten, producing worsening symptoms. Straight lines or words may appear as waves or blurred. It may become difficult to read fine print. Additionally, some patients may experience double vision. It is important to note that these symptoms are painless and will not lead to total blindness. Retinal membrane peels are an elective procedure and should be done in patients who are experiencing daily difficulties in their vision.
Unlike macular pucker, patients who have a macular hole should undergo surgical intervention in most cases. The longer a macular hole is left untreated, the worse your vision becomes. I also becomes less likely that the hole will close with delayed surgical intervention.