What causes a wrinkle behind the eye?
What Causes an Epiretinal Membrane? As you age, the vitreous clear gel-like substance that fills the middle of your eye begins to shrink and pull away. Once the vitreous starts to shrink, scar tissue may develop on the macula. Sometimes the scar tissue can shrink and contract, causing the retina to wrinkle or bulge.
What is a macular crease?
A macular pucker is scar tissue that has formed on the eye’s macula, located in the center of the light-sensitive tissue called the retina. The macula provides the sharp, central vision we need for reading, driving, and seeing fine detail. A macular pucker can cause blurred and distorted central vision.

What is a wrinkle on the back of the retina?
Wrinkle on the retina which is also known as an epiretinal membrane (ERM), or macular pucker, is a thin translucent tissue that develops on the surface of the retina. The retina is the inner layer that lines the inside of the back of the eye, and is responsible for converting the light image into an electrical…
What happens to central vision when the retina puckers?
This scar tissue is firmly attached to the retina surface. When the scar tissue contracts, it causes the retina to wrinkle, or pucker, usually without any effect on central vision. However, if the scar tissue has formed over the macula, our sharp, central vision becomes blurred and distorted.

How does an ophthalmologist diagnose a retinal disease?
Retinal diseases can be related to aging, diabetes or other diseases, trauma to the eye, or family history. To make a diagnosis, your ophthalmologist conducts a thorough eye exam and looks for abnormalities anywhere in the eye.
What causes a hole in the retina as you get older?
As you get older, little pockets can form inside this gel. The tiny fibers that hold it to your retina can break. That can cause it to pull away from your retina and optic nerve. As a result, you can get a tear in your retina or a hole in your eye nerve.