Although not considered actual degeneration, other often aging- related problems can affect the macula. Among these is the development of scar tissue on the surface of the retina leading to distortion of central acuity. This condition is called macular puckering. In some cases, holes can develop in the in the middle of the macula causing loss of central eyesight. In many cases, our retinal surgeons can repair macular pucker or holes leading to recovery of much of the lost vision.