Well, yes, macular pucker can lead to double vision. First, according to some experts, in most cases, macular pucker can some symptoms, such as vision distortion, double vision and blurriness. In many cases, there is no treatment needed. Getting macular pucker with double vision, it can affect activities of daily life, such as reading and driving. And in some degree, it can be dangerous to you. At this moment, you may need some treatments. For example, surgery may be recommended for treating macular pucker which is named as vitrectomy. Of course, sometimes, macular pucker can heal by itself, so you do not need to worry about it.