6 Things to Know about the Macular Hole

Macular holes can substantially influence your vision, so it's essential to understand the treatment options available. Macular hole surgery is a highly successful technique that can help you regain your vision and enhance your quality of life. In this article, we'll cover all you need to know about macular hole surgery, from the operation to recovery and any complications.

What are the symptoms of a macular hole?

People with macular holes typically detect a change in their center vision, usually in one eye. Things may appear hazy or distorted, and you may believe you have a blind spot in the center of your field of vision. Some people report that straight lines appear bent (distorted), letters appear 'jumbled up' when reading, or it is simply more challenging to read, watch TV, or perform close-up jobs.

Symptoms vary significantly depending on the extent of the macular hole.

What treatment is there for a macular hole?

Macular holes seldom seal themselves. Therefore, your doctor may prescribe ongoing monitoring. In many situations, surgery is required to close the hole and improve vision.

The procedure, known as a vitrectomy, involves removing the vitreous and filling the eye with a specialized gas bubble. The macular hole heals behind the gas bubble and disappears in two to four weeks.

What are the benefits of macular hole surgery?

The most significant advantage is that it keeps the center vision in your eye. Without treatment, the macular hole will likely become chronic, indefinitely affecting your central and detailed vision. Timely therapy within weeks to a few months is the most effective technique for treating a macular hole and producing the most outstanding results.

What happens during macular hole surgery?

Before

Your expert will conduct a thorough examination of your eyes before your operation. Some people will have cataract surgery simultaneously (since cataracts are prevalent after vitrectomy), in this case, you will undergo a biometry test to ensure your replacement lens is the proper one for you. Your consultant will review all of the details of your macular hole surgery and answer any questions you may have.

During

Vitreoretinal surgery is a reasonably simple procedure that typically takes 30-40 minutes. Most vitreoretinal surgeries are conducted with a local anesthetic, either eye drops or anesthetic surrounding the eye. So do not fear; there will be no needles. You may see a brilliant light and some movement, but you cannot feel anything. We understand that this can be unsettling, but your surgeon and their team will be there to ensure that you are entirely comfortable throughout. Your surgeon will walk you through what they are doing.

After

You can return home the same day because the treatment is performed under local anesthesia.

You cannot drive home afterward, so make arrangements for someone to drive you home. We also recommend having someone available for around 24 hours after your surgery if you want assistance after arriving home.

Part of the procedure involves inserting a gas bubble into your eye, so you should avoid flying or climbing high heights until the gas is absorbed, which could take two to four weeks. Your surgeon will review everything you need to know about this before leaving.

How long does it take to recover from macular hole surgery?

It generally takes six to eight weeks to recover after surgery and see your vision improve fully. Around a week after your treatment, the gas bubble begins to absorb, and the eye refills with the fluid it makes naturally. It is typical for your vision to be blurry when the bubble is enormous, but it will gradually improve as it absorbs.

What are the possible complications?

Although most patients will have no issues, some risks are associated with any surgery. During your appointment, your surgeon will review these in depth with you and ensure that you are comfortable proceeding with treatment.