Macular Holes

A macular hole is the formation of a gap around the centre of the macula. Because the macula is responsible for your central vision, this condition can cause vision to blur and distort. A blind spot or blank patch may also appear in your central vision. The condition needs to be monitored for progression and may need surgery known as a vitrectomy.

Normal OCT Scan

19. OCT Scan_normal

Macula Hole on OCT Scan

20. OCT hole

Leads to blurring and distortion

7. distortion

How is macular hole treated?

Macular hole is treated by vitrectomy surgery. The surgery is performed under local anaesthesia with minimal discomfort. With modern techniques, sutures are usually not required. A bubble of gas is injected to keep the hole dry and allow it to heal. It is helpful to look down for 3 to 5 days to keep the macular hole above fluid. You must not travel by air while gas bubble remains.