Macular Hole – Houston, TX

44 Retinal Conditions ( View All )

What is a Macular Hole?

The macula is the small area in the center of the retina responsible for your central vision which helps you to perform tasks such as reading, driving, and close-up work. A macular hole is a small break in the macula.

There are three stages of a macular hole:

• Foveal detachment (Stage I)
• Partial-thickness hole (Stage II)
• Full-thickness hole

At Retina Consultants of Houston, our board-certified ophthalmologist are specially trained and experienced in diagnosing, staging and treating macular holes. If left untreated, a macular hole can lead to a retinal detachment.

Causes and Symptoms

Macular holes typically affect people over age 55 and occur more often in women. Several conditions increase the risk of developing a macular hole:

• Vitreous traction: The vitreous is the clear, jelly-like substance that fills the middle of the eye between the lens and the retina. As you age, the vitreous can begin to pull away from the retina, sometimes causing a macular hole.
• Injury or trauma to the eye
Diabetic eye disease
• High degree of myopia (nearsightedness)
Retinal detachment
Macular pucker

Symptoms of a macular hole can include:

• A decline in central vision
• Blurring of vision
• Distortion, causing straight lines to appear wavy
• A dark spot in your central vision


Optical coherence tomography (OCT) is used for diagnosing, staging, and managing a macular hole.

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Treatment and Prognosis

The standard treatment for macular holes is vitrectomy surgery, an outpatient procedure that involves removing the vitreous gel to stop it from pulling on the retina. A gas bubble is then placed in the eye to push against the macular hole, helping it to close and heal. Over a period of several weeks, the gas bubble slowly dissolves and is replaced with natural eye fluids.

If a macular hole is very small and is not significantly impacting vision, your retina doctor may simply observe and track its progression or natural healing.

*Individual results are not guaranteed and may vary from person to person. Images may contain models.