Is a macular hole in the eye serious?
Dec 03, 2022
Source: Cainiu Health
Dr. Cui Xin
Introduction
The macular hole in the eye is relatively severe. In its early stages, a macular hole may not cause any symptoms, but as the condition progresses, it can seriously impair central vision, leading to symptoms such as blurred vision, distorted objects, and central scotoma (a blind spot in the center of vision). Without timely treatment, it may result in vision loss and trigger complications including epiretinal membrane formation and cystoid macular edema. In severe cases, it can lead to retinal detachment, causing complete vision loss and eventual blindness.
Macular hole in the eye is usually quite serious.
A macular hole refers to a tissue defect in the macula, ranging from the inner limiting membrane of the retina to the photoreceptor layer. In early stages, it typically does not cause obvious symptoms. However, as the condition progresses, it can severely impair the patient's central vision, leading to symptoms such as blurred vision, distorted images (metamorphopsia), and central scotoma (blind spots). Without timely and effective treatment, vision may progressively deteriorate, potentially resulting in epiretinal membrane formation or cystoid macular edema. In particularly severe cases, it may lead to retinal detachment, ultimately causing complete vision loss and blindness.
Patients with a macular hole should seek prompt medical attention at a hospital and undergo surgical treatment based on the specific condition. Common surgical procedures include vitrectomy and internal limiting membrane peeling, which help improve the macular hole, control disease progression, and restore vision. Additionally, because gas is often injected into the eye during macular hole surgery, patients are generally required to remain in a face-down (prone) position after the operation.
