Doctor insights on:
Stages Of 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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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?
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 moreSee 2 more doctor answers
If a ophthalmologist says you have an epiretinal member and a new macular hole that's developed what does it mean?
I had consulted 2 surgeons prior to a projected macular hole surgery; one will be using C3F8 and the other SF6. What's the difference of the two types?
The day after vitrectomy for a macular hole, the gas dissipated to less than half the amount it should be. Why?
Re: macular hole - are there any alternative surgical procedures vs. The usual gas bubble surgical repair?
Not sure: I would certainly talk to the ophthalmologist. They do many procedures with lasers these days. ...Read more
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
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
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 moreSee 2 more doctor answers
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
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
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
Vision disturbed: Macular pucker is when the vitreous gel atop the macula developed a membranous layer with attachments to the macula and with some degree of condensation and contraction will wrinkle a little and disturb the vision. It can occur after trauma, retinal surgery but also can be spontaneous. If progressive and threatening the vision a procedure called membrane peel can improve things. ...Read more