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Doctor insights on: Macular Hole

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What is a macular hole?

What is a macular hole?

Retinal break: A macular hole is a type of detachment of the retinal in the center of the vision. Many are spontaneous and some related to trauma. It causes a lowering of the central acuity and commonly is progressive unless treated. Treatment is done by retinal surgeons , is somewhat complex but commonly can reverse the process. ...Read more

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Can you tell me about macular hole?

Can you tell me about macular hole?

Fixable: A macular hole represents an opening of the central vision area of the vision tissue (retina) that develops. It is usually associated with a decline in visual acuity and 'funny' "scrunched up" vision centrally. Having surgery to repair the macular hole has greater than 90% success rate, and the vision is usually dramatically improved compared to be fore surgery, but not as good as it was. ...Read more

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How much time will a macular hole take to heal?

How much time will a macular hole take to heal?

Depends: Without intervention (surgery), anything but what is called a "Stage 1" macular hole will not heal. If it is a "Stage 1" macular hole, it will go away in about 50% of the time over weeks to months. If it is a "Stage 2-4" macular hole, surgery will be required, and vision recovery after surgery takes weeks to a few months. An evaluation by a competent retina specialist might be helpful. ...Read more

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A friend was diagnosed w/ a macular hole a few months ago. On a later visit, the hole apparently disappeared. Is this normal and any repercussions?

Rare: Rarely, macular holes can resolve on their own. This usually occurs with recent onset, small holes. It would not be expected to have a negative effect, or present any disadvantage. ...Read more

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What to do if I have a macular hole. how long can I wait until surgery?

What to do if I have a macular hole. how long can I wait until surgery?

Depends: First, it would be unusual for a 33 year old to have a macular hole. If there is one indeed, on average, surgery sooner results in better vision outcomes. However, waiting a few weeks should make difference. ...Read more

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The day after vitrectomy for a macular hole, the gas dissipated to less than half the amount it should be. Why?

The day after vitrectomy for a macular hole, the gas dissipated to less than half the amount it should be.  Why?

See a retina special: Ask your retina specialist. Different gases of different concentrations are chosen by your retinal surgeon (based on how long he or she wants it to last) and injected into the eye. ...Read more

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I had consulted 2 surgeons prior to a projected macular hole surgery; one will be using C3F8 and the other SF6. Whats the difference of the two types?

See below: C3F8 gas lasts longer than SF6 gas before dissolving away on its own. Usually SF6 gas is used unless there are other compelling reasons to use the longer-acting gas, like peripheral retinal pathology. Ask your retina specialist. ...Read more

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Can you recommend any alternative treatments for macular hole other than surgery.?

Macular hole: For early stage lamellar or full thickness macular holes, intervitreal injections of steroid or a vitreolysis agent can be of some benefit. For most macular holes, surgery is yourbest option. ...Read more

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What's a detached retina and macular hole?

What's a  detached retina and macular hole?

Retinal detachemnt: Retinal detachment is a detachment of the retina from the inside of the eye. The portion of retina that is detached leaves the vision completely black in the detached area. Retinal detachment is usually caused by a peripheral hole/tear of the retina. A macular hole is a hole in the center of the macula, the portion responsible for central vision causing varying degrees of loss. ...Read more

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Went to the eye dr. He said my vision was 20/400. What does that mean. I had macular hole surgery last year in my rt. eye.

Went to the eye dr.  He said my vision was 20/400.  What does that mean.  I had macular hole surgery last year in my rt. eye.

Poor eyesight : 20/400 vision means that you see at 20 feet what others can see at 400 feet. There are many people with 20/400 vision. However, they can be corrected to 20/20 with glasses or contacts. If your vision is 20/400 and cannot be corrected, it means you have poor eyesight and are legally blind. ...Read more