{"id":9729,"date":"2021-02-03T11:31:35","date_gmt":"2021-02-03T11:31:35","guid":{"rendered":"https:\/\/www.optometrists.org\/?page_id=9729"},"modified":"2021-07-26T09:55:35","modified_gmt":"2021-07-26T09:55:35","slug":"what-is-a-macular-hole","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/macular-degeneration-guide\/macular-diseases\/what-is-a-macular-hole\/","title":{"rendered":"What Is a Macular Hole?"},"content":{"rendered":"<h2><b>Macular holes affect up to 4 in 1,000 people above the age of 55.\u00a0<\/b><\/h2>\n<p><b>Early detection of a macular hole can reduce your risk of permanent damage and vision loss.<\/b><\/p>\n<p>A macular hole is a small tear in the center of the <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-anatomy-the-back-of-the-eye\/\">macula<\/a>, the part of the <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-anatomy-the-back-of-the-eye\/\">retina<\/a> responsible for central vision and vision of fine details.<\/p>\n<p>A macular hole can significantly impact your vision\u2014 preventing you from enjoying your daily activities and affecting your quality of life.<\/p>\n<p>Fortunately, with early detection and treatment your clear vision can be restored.<\/p>\n<h2><b>How does a macular hole occur?<\/b><\/h2>\n<p>A macular hole most often occurs when the vitreous humor, the gel that fills the inside of the eyeball, shrinks and pulls away from the retina\u2014 usually as a result of aging.<\/p>\n<p>In most cases, the vitreous can pull away from the retina without any complications. However, if the vitreous sticks to the retina, it will pull on the retina, causing the macula to stretch, and lead to a tear or hole in the macula.<\/p>\n<p>In some cases, a macular hole can develop from macular swelling that occurs as a result of another eye disease, an eye injury or trauma to the retina.<\/p>\n<p>Several conditions can increase your risk of a macular hole, including:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.optometrists.org\/childrens-vision\/children-and-eye-emergencies\/\">Eye injury or trauma<\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/guide-to-eye-conditions\/retinal-diseases\/\">Retinal detachment<\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/macular-degeneration-guide\/macular-diseases\/\">Macular pucker<\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/guide-to-diabetes-and-the-eyes\/diabetic-retinopathy\/\">Diabetic retinopathy<\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-pediatric-eye-conditions\/what-is-myopia\/should-i-be-worried-about-myopia\/\">High myopia<\/a><\/li>\n<\/ul>\n<h2><b>Symptoms of a macular hole<\/b><\/h2>\n<p><b>A macular hole can cause blurry, wavy, or distorted central vision.\u00a0<\/b><\/p>\n<p>These symptoms may be difficult to notice at first, but as the condition worsens and the hole grows bigger, a dark blind spot will form in the central visual field, blocking central vision.<\/p>\n<p><strong>If you suspect you have symptoms of a macular hole, <a rel=\"noopener\" href=\"https:\/\/www.optometrists.org\/practice-search\/\" target=\"_blank\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.optometrists.org\/practice-search\/&amp;source=gmail&amp;ust=1627371425620000&amp;usg=AFQjCNEN9biLv4ZhFno6CJFjhMakfIA6ZQ\">contact an eye doctor<\/a>\u00a0near you, who can diagnose and treat the condition<\/strong>.<\/p>\n<p><strong>SEE RELATED:<\/strong> <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/macular-degeneration-guide\/protecting-yourself-from-macular-degeneration\/\">Protecting Yourself From Macular Degeneration<\/a><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor near you<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>How are macular holes treated?<\/b><\/h2>\n<p>Some macular holes may seal by themselves, but in most cases, a surgical procedure, called a vitrectomy is performed to treat the condition and improve vision.<\/p>\n<p>A vitrectomy is performed under local anesthesia. The procedure involves the removal of the vitreous gel that fills the inside of the eye. This gel is attached to the retina, and pulls on the retina as it shrinks.<\/p>\n<p>The vitrectomy (removal of the gel) helps to relieve any traction caused by the gel pulling away from the retinal surface. Once the gel is removed, the eye is filled with a gas bubble that helps to flatten the edges of the macular hole and hold it in place as it heals.<\/p>\n<h3><b>What to expect following a vitrectomy<\/b><\/h3>\n<p>Following a vitrectomy, your eye doctor will instruct you to remain in a face-down position for a day or two\u2014 though in some cases when the surgical repair is more extensive, for up to two to three weeks. The face-down position is crucial for recovery, as it enables the gas bubble to efficiently press against the macula. As the hole heals, the bubble will disappear and the natural eye fluid will return.<\/p>\n<p>Your eye doctor can recommend specialized equipment to facilitate face-down positioning to make your recovery period more comfortable.<b>\u00a0<\/b><\/p>\n<p><strong>LEARN MORE:\u00a0<\/strong>\u00a0<a rel=\"noopener\" href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/\" target=\"_blank\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/&amp;source=gmail&amp;ust=1627371425620000&amp;usg=AFQjCNFAkq20Jd9C3VzyQMS6lJ_Six2mcA\">Guide to Eye Conditions<\/a><\/p>\n<p><strong>If you are experiencing any changes to your vision, <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">schedule an appointment with an eye doctor near you<\/a> for a comprehensive exam of your eye health and vision.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Macular holes affect up to 4 in 1,000 people above the age of 55.\u00a0 Early detection of a macular hole can reduce your risk of<\/p>\n","protected":false},"author":1206,"featured_media":9730,"parent":6642,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-article.php","meta":{"footnotes":""},"categories":[],"tags":[502,359,321,147,501,90,431,173],"class_list":["post-9729","page","type-page","status-publish","has-post-thumbnail","hentry","tag-anatomy","tag-diabetic-retinopathy","tag-eye-emergency","tag-eye-exam","tag-macular-pucker","tag-myopia","tag-retinal-detachment","tag-surgery"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What Is a Macular Hole? 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