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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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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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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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If a ophthalmologist says you have an epiretinal member and a new macular hole that's developed what does it mean?

ERM, macular hole: An Epiretinal membrane is a growth of new abnormal cells on the surface of the retina that can pull the macular area open & form a hole. New treatments now help. See cremersmd@blogspot.com for more info. ...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?

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

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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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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Can you tell me about macular hole surgery on the eye?

Excellent surgery: Macular hole surgery is one of the great successes of modern ophthalmology. In good hands, it has a greater than 90% success rate at closing the hole, and most patients have good vision recovery. However, how good the vision will be after surgery is not predictable, and generally worse the longer the hole was present before repair. Not having surgery for a macular hole = bad idea. ...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

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Is there a relationship between vision problems (visual field loss, macular hole) and long term use of antimalarials (23 yr)? Chloroquine, oroguanil..

Is there a relationship between vision problems (visual field loss, macular hole) and long term use of antimalarials (23 yr)? Chloroquine, oroguanil..

Yes, yes, yes: Short term use for malarial prophylaxis rarely has serious side effects, usually minor GI side effects. Long term definitely has potentially very serious side effects, involving many sensory organs. First is visual, and can be multiple things including retinal damage, sight damage, corneal defects. A certified ophthalmologist must check fully the eyes before, and during long term use. ...Read more

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Does smoking weed affect the gas bubble in your eye after a vitrectomy for a macular hole. Would it affect how the hole closes. Can i smoke?

Does smoking weed affect the gas bubble in your eye after a vitrectomy for a macular hole. Would it affect how the hole closes. Can i smoke?

Be wary: Twenties male concerned about smoking cannabis after vitrectomy. A person with this circumstance needs to know that cannabis affects pressure inside the eye. Therefore, the surgeon who did the procedure needs to be asked this question, and before cannabis is consumed. Cannabis has ameliorating effects in cases of ocular glaucoma. ...Read more

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Could macular holes get bigger/worse if not treated?

Could macular holes get bigger/worse if not treated?

Yes: The natural history of macular holes is that of continued enlargement, to a point, and associated progressive decline in visual acuity. Additionally, there is progressive central distortion that evolves into a central blind spot. Macular holes are best treated as soon as possible, though not urgent, and after about one year duration the prognosis for good vision drops dramatically. ...Read more

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What are macular degenerative diseases?

What are macular degenerative diseases?

There are many: causes of degeneration of the macula. In younger patients they are usually genetic mutations (e.g. North Carolina Macular Dystrophy), and later in life they are age related (e.g. Age Related Macular Degeneration) but a genetic predisposition is required, not everyone gets it. Since the macula is where 'central vision' is captured, when the macula degenerates, the visual acuity worsens. ...Read more

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What is stargardts macular distrophy?

What is stargardts macular distrophy?

Inherited: This is a condition, in several forms, which starts in early teen years and mostly progresses to complete loss of central macular function. It is inherited and there is a strong family history. Fortunately it is quite rare. The peripheral vision is usually preserved so a seeing eye dog is rarely needed. ...Read more

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Please suggest diet for macular amyloid?

Please suggest diet for macular amyloid?

No diet helps: There is no dietary treatment for this condition. ...Read more

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How and when do you treat a macular buckle?

How and when do you treat a macular buckle?

Macular pucker: You may mean macular pucker, which is treated surgically by peeling the membrane off the retina. The surgery is done when the benefit outweighs the risk. That means one waits until the vision is affected significantly. ...Read more