Macular Hole

Macular Hole

The macular hole has a similar etiology to Posterior Vitreous Detachment (PVD). Like PVD, macular holes are an age-related condition typically related to a compressed vitreous gel.
Symptoms of a macular hole can include changes in how straight lines are viewed. In many cases, straight lines can begin to appear wavy. In addition, vision can become blurry and there may be an increase in the presence of floaters. It can become difficult to complete daily tasks that require a high attention to detail.
While there may be some macular holes that eventually repair on their own, many times a vitrectomy may be required. This is a surgery in which the vitreous gel is removed in order to prevent it from damaging the macula and retina. The vitreous gel is replaced with a bubble made up of a solution that contains air and gas. This bubble is used to temporarily seal the macula as it heals. The bubble disintegrates on its own, and the vitreous cavity is replaced by clear fluid once again.
Typically an ophthalmology will use optical coherence tomography, which scans the structures of the retina. Imaging from this diagnostic technique will allow for visualization of a macular hole.
Macular holes can cause impairments while utilizing central vision. It can be difficult to read, drive, and conduct necessary responsibilities given that central vision may be slightly impaired. Therefore it is advised to seek treatment when symptoms begin.

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