Macular pucker is a condition where the normal architecture of the macula is disrupted due to the presence of a thin membrane which forms over the macula. This membrane causes the macular tissue to scrunch up, or “pucker.” This condition generally occurs with aging, but can also occur in younger patients who have a history of trauma or inflammation in the eyes. Symptoms of macular pucker are blurry or distorted vision. This can range from mild to extremely debilitating. Surgery to remove the membrane and relieve the pucker is indicated in moderate to severe cases.