Macular hole surgery requires extensive follow-up.
Macular hole surgery is performed by doctors for treating a macular hole in the eye. These holes occur when the vitreous separates from the eye, causing a small hole in the retina. If the hole is left untreated, vitreous fluid can build up in the hole, causing blurred vision, dark spots, and reading problems. The surgical procedure to repair the macular hole is a vitrectomy. The surgery requires extensive follow-up and has several risks associated with the procedure.
Macular hole surgery can cause temporary vision problems.
Patients undergo this surgery under local anesthesia on an outpatient basis. During the vitrectomy, the surgeon removes the vitreous fluid from the hole and cleans the eye. The surgeon then fills the hole with air and gas, making a small bubble. The bubble works like a bandage and is gradually absorbed by the eye. When the surgery is finished, the surgeon will place a patch on the patient’s eye and send him home a few hours later.
Some patients may develop cataracts after macular hole surgery.
After the procedure, patients must remain in a face-down position for two to three weeks. This allows the surgically inserted bleb to press against the eye and attach itself to the macula. The bubble will slowly dissolve and the hole will fill with the eye’s natural fluids. Since lying face down is crucial to recovery, doctors will not allow people to have the procedure if they are unable to do so.
Macular holes occur when the vitreous separates from the eye, causing a small hole in the retina.
Long-term postoperative treatment after macular hole surgery consists of eye drops for a few months and annual eye exams. Individuals will need to have their eyesight monitored for visual defects and changes in eye pressure. If a change in eye pressure is observed, doctors may recommend a visit to an ophthalmologist to check for cataracts.
There are several risks associated with macular hole surgery that patients should be aware of. One such risk after macular hole surgery is the possibility that the patient will develop cataracts. Individuals may also experience retinal detachment and infections. Some people may experience vision problems after surgery, which may be temporary or permanent. Doctors also advise patients not to travel by plane right after surgery because the increased air pressure can cause the eye blister to burst.
If a macular hole is not repaired, vitreous fluid buildup can cause blurred vision and dark spots.
Despite the risks, doctors indicate that vitrectomy surgery has a reasonable success rate. Success factors include the age of the person, the depth of the hole, and the skill of the surgeon performing the macular hole surgery. However, there is a small chance that the patient will get a macular hole in the other eye.