Dr. Asterios Diafas
Ocular OncologyVitreoretinal Surgery
+30 694 240 6078asterisdiafas@hotmail.com
Procedure · Vitreoretinal Surgery

Macular Hole Surgery

The macular hole is a small full-thickness defect in the retina at the centre of the macula, which can cause blurred or distorted central vision and a reduction in visual acuity. Surgical treatment aims to close the hole and improve or preserve central vision, depending on the condition of the macula and the duration of the disease.

After surgery, vision usually improves gradually as the macular hole closes and the gas bubble is naturally absorbed. In some cases, a specific head position may be required for several days to support the healing process. The final visual outcome depends mainly on the size and duration of the macular hole, as well as the condition of the macula before surgery.

Who it is for

Surgical treatment is primarily recommended for patients with a macular hole causing significant reduction or distortion of central vision. The decision to proceed with surgery is individualised, taking into account the size and duration of the hole, the condition of the macula, and the overall health of the eye.

What to expect

A scan (OCT) confirms the hole and is used to plan the operation. The options are explained in plain terms, consent is taken with time to ask questions, and a posturing plan is agreed.

Under local or general anaesthetic, the vitreous jelly is removed, the internal limiting membrane is gently peeled, and the eye is filled with a gas bubble to press the edges of the hole together.

Posture as advised, use the drops you are given, and do not fly while the gas bubble remains in the eye. Vision is very blurred at first and improves slowly over weeks to months as the hole closes and settles.

Talk it through with Dr. Diafas.

The doctor will assess the specific characteristics of your condition and provide you with detailed information about the available treatment options.

This page provides general information only and is not a substitute for an individual consultation.

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