Patient Information Sheet

Macular Hole

Macula holes are most common in people between the ages of 65 to 74, and there are a variety of procedures and treatment plans available.

As we age our eyes evolve. During this evolution a part of the eye called the vitreous membrane changes from a gel to a liquid structure eventually collapsing and forcing a separation between the posterior surface and the retina. When this separation does not occur smoothly or completely the result may be a macula hole.

Macula holes develop over weeks or months, and go through various stages during that development. Often stage 1 macular holes (macula holes in their infancy) will resolve spontaneously, and require nothing more than close monitoring over a period of months. In more serious cases eye surgery may be required.

There are a variety of procedures and techniques employed to try to close the macular hole should eye surgery be required. The success of those procedures depends on how advanced the hole was when first diagnosed, but patients are advised to expect at least some diminished vision following the occurrence of a macula hole.