We use our macula and central vision to view detailed objects when reading or driving.
Usually occurring in people over the age of 60, macular holes can cause rapid loss ofcentral vision.
Symptoms
Macular holes usually develop slowly.
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Straight edges may appear bowed or wavy.
In advanced cases, you may have great central vision loss or notice a missing spot in your vision.
Causes
The back cavity of the eye is filled with a gel-like substance called vitreous.
In certain places, the vitreous adheres to the retina by tiny fibers.
As we age, vitreous begins to liquefy and collapse on itself.
When this begins to happen, the vitreous may pull away from the retina.
This is called posterior vitreous detachment.
Fluid may accumulate and cause distorted or blurry vision.
Types of Macular Holes
Macular holes are classified based on size and progression.
Larger and older macular holes have a decreased chance of successful treatment.
Very early macular holes are monitored by an optometrist or an ophthalmologist.
A Stage 2 or greater macular hole is typically treated by surgery performed by a retinal specialist.
This gas holds the edges of the macula together to allow healing.
Research is currently evaluating how important this step is, as it is very difficult for the patient.
If you notice any change in your central vision, see youreye doctorright away.
Early detection and treatment of macular are crucial for a positive outcome.
2015;(5):CD009080.
Budoff G, Bhagat N, Zarbin MA.Traumatic macular hole: Diagnosis, natural history, and management.J Ophthalmol.
