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Macular Hole

A macular hole is a hole in the central part of the retina that is most important for vision. The retina is the innermost light-sensitive layer of the eye, similar to the film of a camera where the image is formed.

In some cases, the macula nerve cells separate from one another and unplug from the back of the surface. This causes a hole in the back of the eye, which can have a variety of effects on the eyes.

 

Symptoms of a Macular Hole

  • Decrease in vision
  • Straight lines appearing curved
  • No symptoms but detected on a routine examination

 Causes of Macular hole

  • Age related degeneration of the Vitreous (the gel like structure that keeps the eyeball taut)
  • Injury with fist, ball, shuttlecock, firecracker etc
  • High Myopia or short-sightedness
  • Following long standing diabetic maculopathy
  • Solar eclipse viewing

 

Who is at risk of developing a macular hole?

A macular hole is more common in people over 50 and in women. To be more specific, the stages of macular hole development can be divided into parts or sections. The progression of a macular hole is divided into four stages (which are graded on OCT scan images). In comparison to stages 1 and 2, vision is worse in stages 3 and 4.

 

Types of Macular holes

The progression of a macular hole is divided into four stages (which are graded on OCT scan images). In comparison to stages 1 and 2, vision is worse in stages 3 and 4.

 

Diagnosis

After dilating the eyes and viewing the retina under magnification with an appropriate lens, the ophthalmologist makes a clinical diagnosis. Because the hole can be small or subtle at times, an optical coherence tomography (OCT) scan is almost always performed to confirm the diagnosis, as well as to measure the size of the hole, determine its stage, and predict the outcome of treatment.

 

Treatment

Vitrectomy surgery can successfully treat age-related macular holes in stage 2 and beyond. The vitreous gel from inside the eye is removed, the hole is closed, and a gas bubble-filled space is created inside the eye, which self-absorbs after 4-6 weeks.

Some surgeons may advise lying face down for the first few days after surgery to hasten the closure of the hole. Stage 1 holes do not require surgery, but serial check-ups to detect progression to subsequent stages are advised. If the contralateral eye has developed a macular hole, more frequent check-ups for the normal eye may be recommended. Macular holes caused by other causes have a worse prognosis.

 

 

To get your eye checked, visit Accra Specialist Eye Hospital – Voted the Best Eye Hospital in Ghana. Visit Accra’s Finest Eyecare Facility today!  Our Services include are  Laser Eye Surgeries,  Micro Incision Cataract, Surgery (Phaco), Retina Surgeries, Phaco (Cataract), Glaucoma Surgeries, Cornea Surgery – Transplant , Oculoplastic Surgery and Child Eye Care Services.

 

 

We're an eye specialist hospital dedicated to providing the best care for you and your eyes. At Accra Specialist Eye Hospital, we are committed to delivering accessible and comprehensive eye care, to the highest possible standards. Our Expertise & Services Offered are Laser Eye Surgeries, Micro Incision Cataract, Surgery (Phaco), Retina Surgeries, Phaco (Cataract), Gluacoma Surgeries, Cornea Surgeru - Transplant , Oculoplastic Surgery and Child Eye Care Services. We're located at Tantra Hill - Accra.