Macular hole
What is a macular hole?
A macular hole is a hole that develops at the macula which is the small area that enables you to read and define detail and see colour.
As a result, a macular hole affecting the central part of the retina can have a profound effect on the central vision.
What causes a macular hole?
A macular hole most commonly a result of the normal ageing change of the vitreous gel in the eye. Ageing of the vitreous gel leads to its separation from the retina which usually does not cause any problems.Â
However, occasionally as the gel separates from the retina, it can leave residual gel fibres. It can vary from stage I to IV depending upon the size and development of the macular hole.
What are the symptoms of a macular hole?
A way to test for a macular hole is to view an Amsler Grid at your reading distance with your reading spectacles in place and closing one eye. The following symptoms can occur:
- straight lines appear distorted
- gap or dark spot in the central vision
What are the treatment options?
Vitrectomy is usually performed for stage IV macular holes. It involves highly skilled complex surgery inside the eye involving the removal of vitreous gel.Â
Treatment for a macular hole removes the vitreous gel from the eye and a bubble of gas is placed in the eye, which helps the macular hole heal. Face down posturing may be required for approximately 3 days after surgery depending on the size of the hole.
What are the risks of the treatment for Macular hole?
- 1 in 1000 chance of an infection or bleeding resulting in severe loss of vision Â
- elevated eye pressure
- cataract development
What can I expect following treatment?
- posturing is often required for 3 days
- blurred vision
- soreness for which oral analgesia such as Paracetamol may be taken
- redness
- avoid flying if a bubble of gas has been used during surgery
Our Treatments and Price List
| New patient consultation | £320 |
| Follow up appointment | £280 |
| Vitrectomy | £4500-£6500 |
| simple to complex |
If you would like to discuss Ophthalmology treatments, please get in touch with a member of our team
