Overview

A macular hole is a defect in the macula, the part of the eye responsible for sharp central vision. It causes blurred and distorted vision. Surgery is often required to repair the hole and improve vision.

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If you have noticed a gap or distortion in your central vision, contact us for assessment.

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Diagnostic Approach

Confirming the diagnosis and staging the hole is crucial for planning treatment.

OCT Imaging

Optical Coherence Tomography (OCT) provides a detailed cross-section of the macula, confirming the presence and size of the hole.

Visual Acuity & Amsler

Measuring the level of vision loss and mapping the area of distortion or missing vision.

Symptoms

Symptoms usually develop gradually and affect central vision:

Blurred central vision
Distorted or wavy straight lines
Dark spot/gap in centre of vision
Difficulty reading or recognizing faces

Expert Management & Treatment

Surgery is the only effective treatment to close the hole and improve vision.

Vitrectomy Surgery

Removing the vitreous jelly and peeling the membrane to release traction, allowing the hole to close.

Gas Tamponade

A gas bubble is placed in the eye to gently press the edges of the hole together as it heals.

Post-Operative Care

Following instructions after surgery is critical for success.

Posturing

You may need to keep your head in a specific position (face down) for a few days.

Travel

Do not fly until the gas bubble has completely absorbed (usually a few weeks).

Recovery

Vision improves gradually as the hole closes and the eye heals.