This video shows a vitrectomy and epiretinal (macular pucker) peel using 25 gauge small incision instruments. The video was recorded with a high definition camera that I was demoing but the hospital did not purchase for me. This is my best macular pucker video and nicely shows the pucker as it is removed from the surface of the retina. This patient had vision loss for about 6 months from the macular pucker. After surgery, the visual acuity slowly improved from pre-op 20/100 to 20/30.