![]() ![]() The last part of the surgery involves placing a gas bubble in the eye (SF6 or C3F8).Īfter surgery, the patient maintains a face-down position with the eye looking at the floor. The second part of the surgery involves peeling a very thin layer around the edges of the macular hole (internal limiting membrane peeling). ![]() The surgery involves placing instruments inside the eye through small incisions in a technique called “vitrectomy.” The vitreous gel is removed from the eye. In the early 1990s, retina specialists found that removing the vitreous gel from the inside of the eye seems to help close the macular hole. Until recently, it was thought that nothing could be done to prevent or reverse this condition. ![]() This increases the chance of a macular hole formation during a PVD.Īnother cause of macular holes is eye trauma, which can occur at any age. In some cases, the vitreous gel is “too sticky” and is tightly attached to the retina. Causes of Macular HoleĪs a normal aging change, the vitreous gel sometimes separates from the back of the eye ( posterior vitreous detachment, or PVD). If you have a macular hole in one eye, there is about 5-10% chance that your other eye develop a macular hole. This blind spot can increase in size without timely surgical management. Patients with a macular hole usually complain of a round blind spot in the center of their vision. A macular hole is a small break in the macula, located in the center of the retina (the light-sensitive tissue in the back of the eye). ![]()
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