Macular pucker (vitreomacular traction syndrome ) is an alteration of the connection between the vitreoretinal membrane and the retina.
The patient may have a drop in the sight or may see deformed due to an increase in retinal thickness.

Visual symptoms may progressively worsen if there is an increase in vitreoretinal tractions and a consequent increase in retinal thickness.
Decrease in sight, increase in deformation of objects , increase in retinal thickness can lead to surgery (vitrectomy) with the aim of remove the tractions causing retinal changes.

The diagnosis of macular pucker is done with an eye examination, with an ocular fundus examination in mydriasis and OCT examination of the macular region