A hole in the retina?

Domanda di: Dott. Elga Neri  |  Ultimo aggiornamento: 20 settembre 2021
Valutazione: 4.4/5 (32 voti)

A Macular Hole (or foramen) is a small rupture that appears in the central part of the retina, called the macula. It affects the very center of the macula, known as the fovea, and consequently alters its function. This is an acute phenomenon and in the majority of cases, is of sudden onset.

How serious is a retinal hole?

Retinal holes and tears do not automatically cause severe vision problems; instead, the areas of the retina that have holes and tears will not function correctly. If the condition is not well managed or treated in due time, then significant vision loss or even blindness can occur.

Can a hole in the retina be repaired?

Although some macular holes can seal themselves and require no treatment, surgery is necessary in many cases to help improve vision. In this surgical procedure – called a vitrectomy – the vitreous gel is removed to prevent it from pulling on the retina and replaced with a bubble containing a mixture of air and gas.

What causes a hole in the retina?

Vitreous traction: the vitreous is the “gel” that fills up the inside of the eye. With normal aging, the vitreous can shrink and pull away from the retina, sometimes creating a macular hole in the process.

Do retinal holes need treatment?

In most cases, no treatment for retinal holes is required. Your eye doctor will usually just note the finding of a retinal hole and monitor it with routine comprehensive eye exams.

Macular Hole: Vitrectomy Surgery



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Is retinal laser surgery painful?

Retinal laser therapy generally causes little discomfort, but your doctor will treat it as necessary. Tell your doctor if you have pain because it can be a sign of a complication. Your vision may be blurry for 24 hours after treatment.

Can you go blind from a macular hole?

Even if surgery does not successfully correct your central vision, a macular hole never affects your peripheral vision, so you'd never go completely blind from this condition.

Is a retinal hole an emergency?

Certain changes in your vision can indicate serious damage to the retina, such as holes and tears or detached retina, an emergency situation in which you can permanently lose your vision. Retinal detachment itself is painless, but there are almost always warning signs.

What is retinal hole laser surgery?

Laser surgery (photocoagulation)

With this treatment, your doctor will shine a medical laser inside your eye and make small burns around the tear or hole in your retina. The burns create small scars that fix the tear and help hold your retina in place.

Can I sleep on my side after macular hole surgery?

Daily Activities and Sleeping

It is recommended to sleep on either side or even your front, but not sleep on your back as that would make the bubble move away from the macular hole.

Are retinal holes common?

Idiopathic atrophic retinal hole is the most common presentation. There are no generally accepted risk factors for this condition but lesions have been cited more often in younger myopic patients. It has been estimated about 5% of the general population has atrophic holes.

How can retinal tear be prevented?

You can't prevent retinal detachment, but you can take steps to lower your risk:
  1. Get regular eye care: Eye exams protect your eye health. ...
  2. Stay safe: Use safety goggles or other protection for your eyes when playing sports or doing other risky activities.

How long is recovery after macular hole surgery?

You might have some pain in your eye and your vision may be blurry for a few days after the surgery. You will need 2 to 4 weeks to recover before you can do your normal activities again. It may take longer for your vision to get back to normal.

How do you stay face down after eye surgery?

Instead of getting a special face-down pillow with a space cut out for your face, you can arrange a large towel into a horseshoe shape to support your head as you sleep. You can also place trays on top of pillows or bean bags to make a useful surface for eating, reading or using a laptop or tablet.

What is the success rate of macular hole surgery?

The single-procedure macular hole closure rate was 100 percent (95 percent confidence interval was 95 to 100 percent) as observed by optical coherence tomography. No complications were observed. Overall, 56 of 68 eyes achieved best corrected visual acuity (BCVA) of 20/50 or better at last follow-up.

Is retina laser surgery safe?

Laser retinopexy is a widely used, safe treatment. There is a small risk that it will fail to prevent a retinal detachment in the future. There is a very small risk that the retina may bleed or develop scar tissue that distorts the vision after laser. Both of these effects could affect vision and require surgery.

What can you not do after retinal laser surgery?

Things You Should Focus On At Home

To avoid the issue getting any worse following laser eye surgery, here are some things Dr. Omar Shakir may need you to do on your own time: Avoid quick head movements and avoid doing anything strenuous, such as lifting, cleaning, gardening, etc.

How long does retinal laser surgery take?

Laser treatment or cryopexy usually takes between 10 and 20 minutes. Surgical reattachment of the retina takes about one-and-a-half to two hours.

Can stress cause retinal detachment?

The simple answer is no, stress cannot cause retinal detachment. Retinal detachment is due to tears in the peripheral retina. Retinal detachment occurs in less than 1 in 10,000 people and can occur at any age but is more likely to affect people over age 40.

How can I strengthen my retina?

How to Improve the Health of the Retina
  1. Healthy and balanced diet. ...
  2. Avoiding unhealthy foods and drinks. ...
  3. Drinking plenty of water. ...
  4. Regular exercise. ...
  5. Wearing sunglass when out in the sun. ...
  6. Quitting smoking. ...
  7. Wearing eye protection. ...
  8. Regular eye check-up.

How are retinal tears treated?

The vast majority of retinal tears are treated with laser photocoagulation. Ophthalmologists occasionally perform cryotherapy if the location of the tear makes it difficult to perform laser photocoagulation.

What happens if a macular hole is not repaired?

Without prompt surgery or laser treatment, it can cause permanent vision loss. Macular pucker: Scar tissue on the macula “puckers” or wrinkles as it shrinks. If you have a macular pucker, your central vision may be distorted or blurry. You may have trouble seeing fine details.

Can you live with a macular hole?

A macular hole affects central vision. Peripheral vision is unaffected and it doesn't lead to complete blindness. If left untreated, vision will usually deteriorate, so that you may only be able to read the top letter of an eye chart, or worse.

What happens when macular hole surgery fails?

The pooled estimates for closure after reoperation were 78% among patients with a macular hole that failed to close and 80% among those with a macular hole that reopened after the initial surgery. Reoperation resulted in improved average best-corrected visual acuity in both groups of patients.

How much is laser surgery for retinal tear?

Without insurance, the cost ranges from $5,000 to $10,000 per eye, depending on where the procedure is performed, the severity of detachment, and the expertise of your doctor. Keep in mind that surgery is the only form of treatment, making it necessary to prevent permanent vision loss.

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