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* Ocular Anatomy And Function

* The Vitreous

* Retinal Tear And Vitreous Hemorrhage

* Treatment Of Retinal Tear

* Retinal Detachment

* Scleral Buckling Surgery For Retinal Detachment

* Pneumatic Retinopexy

* Vitreous Surgery (Vitrectomy)

* Vitreous Hemorrhage And Retinal Detachment

* Proliferative Vtireoretinopathy (PVR)

* Giant Retinal Tear

* Diabetic Retinopathy

* Epiretinal Membrane (Macular Pucker)

* Intraocular Infection: Endophthalmitis

* Retinal Detachment With CMV Retinitis

* Trauma And Intraocular Foreign Body

* Dislocated Lens

* Macular Hole

* Submacular Surgery

* FAQ's About Retinal Detachment

Macular Hole.

Sometimes a retinal hole develops in the center of the macula. This is called a "macular hole" and is caused by vitreous traction. The vitreous overlying the macula may first contract and pull up the center of the macula. When this happens, the patient may notice slight distortion or a reduction in vision. As the vitreous continues to pull, the macula may develop a tiny hole. With time, this hole may become larger. When a macular hole occurs, central or detail vision is lost.

Macular Hole Image.

When a patient develops a macular hole in one eye, there is about a 10% chance that a macular hole will develop in the the other eye.

Once a macular hole develops, vitrectomy surgery may improve the vision. The vitreous is removed and a gas is placed in the eye that helps the macula to remain in place and the hole to heal. Following the surgery, the patient is required to remain in a face-down position for seven to ten days.

Not all patients with a macular hole will see better following the surgery. Your doctor will discuss with you the indications for and complications of the surgery. The complications are very much the same as for any vitreous surgery


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