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Macular Hole Surgery

Macular hole is when a tear or opening forms in your macula. As the hole forms, things in your central vision will look blurry, wavy or distorted. As the hole grows, a dark or blind spot appears in your central vision. A macular hole does not affect your peripheral (side) vision. Sometimes a macular hole can form when the macula swells from other eye disease. Or it can be caused by an eye injury.

Age is the most common cause of a macular hole. As you get older, the vitreous begins to shrink and pull away from the retina. Usually the vitreous pulls away with no problems. But sometimes the vitreous can stick to the retina. This causes the macula to stretch and a hole to form.

Diagnosis

A macular hole is diagnosed through a dilated eye exam by an ophthalmologist and can be confirmed using optical coherence tomography (OCT). With OCT, a machine scans the back of your eye. This provides very detailed pictures of the retina and macula. Learn more about macular hole surgery and diagnosis here

Treatment

Macular hole surgery called vitrectomy is the best way to treat a macular hole. We remove the vitreous that is pulling on your macula. Then we put a gas bubble inside the eye. This bubble helps flatten the macular hole and hold it in place while your eye heals. The gas bubble slowly goes away on its own.

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Dr. Malihi has 14 years experience.

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