Can macular lesions in the fundus heal spontaneously?

Macular lesions of the fundus generally refer to macular degeneration. Whether macular lesions can heal spontaneously depends on the specific underlying cause, which requires targeted analysis.

1. Possible

If macular lesions are caused by prolonged exposure to intense light, conjunctivitis, vitritis, or similar factors, spontaneous recovery may be possible. For some patients whose macular lesions result from long-term exposure to strong light, removing the harmful factors often allows the condition to resolve on its own. Patients with inflammatory conditions such as conjunctivitis or vitritis may eliminate or suppress local pathogenic microorganisms through their immune system, achieving natural healing.

2. Not possible

If macular lesions are due to aging, diabetes, hypertension, or similar factors, spontaneous recovery is usually not possible. With advancing age, the macula undergoes functional degeneration, which typically cannot be reversed. Diabetes and hypertension are chronic diseases, and the macular damage they cause is generally irreversible. In such cases, patients can only slow disease progression through appropriate treatments but cannot achieve self-healing.