Well, yes, it can lead to blindness. As we know that a macular pucker is a term that refers to scar tissue that has formed on the macula, the part of the retina that provides sharp, central vision. And when it occurs, blurry vision and vision loss are two of the most common symptoms. So you may have blindness because of it. You should know that other possible symptoms may include mildly distorted vision, difficulty seeing fine detail and reading small print. In common, retina injury can lead to macular pucker. Also, when you have cataract surgery, it is possible to have microscopic damage to the retina's surface, and then leading to a macular pucker. So just be careful about it.