Almost all macular holes will worsen over time if left untreated, so early surgery will give you a better chance of long-term visual success. Even if you have very few symptoms, we may recommend that you have surgery to prevent further deterioration and to give you the best chance of long-term success. Macular holes which have been present for over a year have a lower chance of closing.
Today up to 95% of macular holes can be closed, and vision regained with a day case operation.
The procedure that is used to treat macular holes is called a vitrectomy. This requires the use of keyhole surgery in the eye to remove the vitreous. The superficial layer of the retina is then peeled around the macular hole to give the retina more elasticity. A gas bubble is then injected into the eye. This bubble pushes the retinal edges of the hole together and effectively causes it to close.
Depending on the size of the hole you may be required to keep yourself in a face down position for up to five days after the surgery. This gives the best chance of the macular hole closing, as it pushes the gas bubble onto the central macula. Post operative drops are required for a month after surgery