Macular hole
Quick answer
A macular hole is an opening that forms at the center of the macula, usually from traction exerted by the vitreous gel as it separates from the retina with age. It causes a noticeable decrease in central vision, along with image distortion.
A macular hole is an opening that forms at the center of the macula, usually from traction exerted by the vitreous gel as it separates from the retina with age. It causes a noticeable decrease in central vision, along with image distortion.
Unlike other retinal conditions, a macular hole rarely resolves on its own, so surgery is recommended in most cases to prevent it from growing and to give the best chance of visual recovery.
Treatment is a vitrectomy, during which the vitreous gel and the traction on the macula are removed, and a gas bubble is placed inside the eye to help the edges of the hole close as it heals. This surgery does require maintaining a specific position (face-down) for the days afterward, as instructed by your surgeon.