![]() ![]() Macular holes are usually repaired with vitrectomy surgery. The test is painless and provides incredible detail about the anatomy and structure of the retina. This is a special test that creates two- and three- dimensional images of the retina. Imaging of the retina will be performed using ocular coherence tomography (OCT). The eye is carefully inspected in clinic by a retinal specialist. How is a macular hole diagnosed?Ī macular hole is diagnosed through a thorough dilated eye exam. A macular hole does not cause complete blindness and does not affect the peripheral (side) vision. ![]() The hole also typically enlarges to a point at which the affected eye can only see the larger letters of an eye chart. As the hole enlarges, the vision becomes progressively worse. In the early stages of macular hole formation, the hole is very small and the central vision may be only slightly blurred or distorted. We also see a macular hole in a very small percentage of people with retinal detachment, or in conditions that cause severe edema (swelling) of the retina. Occasionally, severe blunt trauma can cause a macular hole. This type of macular hole that most commonly occurs in individuals over the age of 50, we refer to as an idiopathic macular hole. In most cases, a macular hole develops as a result of anatomical changes that occur spontaneously and not from anything that the patient has done. This is one of the main conditions that we treat at Retina Consultants of Minnesota in Minneapolis and Greater Minnesota. It is in this very delicate foveal area that a macular hole can develop. The very center portion of the macula, called the fovea, is the thinnest portion of the entire retina. Additionally, the macula helps give us sharp central and reading vision. Congenital Hypertrophy of the Retinal Pigment Epithelium (CHRPE)Ī macular hole is a defect in the center of the macular area of the retina.
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