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Macular Hole

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

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.

Treatment

Surgery called vitrectomy is the best way to treat a macular hole. We removes 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.

01.Lasik

Your eyes deserve the best precision and clarity.

02.Cataract

Inside our eyes, we have a natural lens. The lens bends (refracts) light rays that come into the eye to help us see.

03.Age-related Macular Degeneration

Age-related macular degeneration (AMD) is a problem with your retina. It happens when the central part of the retina called the macula is damaged.

04.Diabetic Retinopathy

Diabetic retinopathy is a potential complication in patients with Diabetes.

05.Retina Vein Occlusion (RVO)

Arteries and veins carry blood throughout the eyes. The eye has one main artery and one main vein that each have multiple branches.

06.Floaters & Flashes

You will need a dilated eye exam if you have new onset of or changes in floater size or quantity or if you see flashes of light.

07.Retinal Tear & Detachment

The retina is the light-sensitive tissue lining the back of our eye. The retina converts the light rays into impulses that travel through the optic nerve to our brain, where they are interpreted as the images we see.

08.Macular Hole

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.

09.Macular Pucker

Macular pucker (also knows as Epiretinal Membrane or ERM) happens when wrinkles, creases or bulges form on your macula.

10.Uveitis

Uveitis occurs when the middle layer of the eyeball gets inflamed (red and swollen). This layer, called the uvea, has many blood vessels that nourish the eye.

11.Glaucoma

Glaucoma is a disease that damages your eye’s optic nerve. It usually happens when fluid builds up in the front part of your eye.

12.Cosmetics

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Our Providers

Dr. Malihi is board certified in Ophthalmology and a fellow member of the American Academy of Ophthalmology (AAO), American Society of Retina Specialists (ASRS), Oregon Academy of Ophthalmology (OAO) and the American Academy of Facial Esthetics (AAFE) . He is the founder of NELSI, INC., an eye care center in Portland, Oregon.

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