It is unusual for a macular pucker to improve without surgical removal.

Macular pucker is caused by a membrane on the surface of the center of the retina.   The membrane is a form of “scar tissue” that contracts and causes the macula (center of the retina) to pucker or wrinkle.  This causes blurry or distorted vision.  It is rare for a membrane to get better on its own.  The best way to correct this condition is to have retina surgery to peel the membrane off the surface of the retina to relieve the wrinkling.