Bilateral 10-20% of patients if no PVD 2% if there is PVD
Clinical Spectrum Ranges from ; Stage I Foveal detachment Stage II Partial thickness hole Stage III Full thickness hole without posterior vitreous detachment. Stage IV Full thickness hole with complete posterior vitreous detachment.
Silicon Oil The eye can be filled with silicon oil instead of gas. This is easier for the patients because no special positioning is necessary, however, the oil must be removed with a second operation several months later.
Results We are able to restore partial visions in 70-90% of patients, usually two lines or better.
Diagnosis The diagnosis of macular holes in the easy stages may be challenging or difficult especially when there are concomitant disorders of the macular, such as age related macular degeneration.
The ophthalmologist must rely on both the patient's vision and the subtlest signs of the disorder, which may include a faint yellow spot or ring in macula. Flurescine angiography may be helpful.
Risk for the other eye A macular hole in the opposite eye is about 10%.
Indication for Macular Hole Surgery 1. Presence of macular hole confirmed by examination. 2. Reduction of vision due to macular hole.
Risks of Macular Hole Surgery Include: 1:Bleeding 2:Infection 3:Retinal detachment 4:Glaucoma 5:Progression of cataract
It is advisable not to travel in an airplane while air remains in the vitreous.
Are macular holes related to macular degeneration? Macular holes and macular degeneration are not related. A macular hole is caused by the vitreous pulling on the front of the retina while macular degeneration is caused by changes to tissue behind the retina.