Macular Hole

A macular hole is a small break in the macula, the central part of the retina, causing blurred or distorted central vision.

Common symptoms

Blurred or wavy central vision, a dark or missing spot in the centre of the visual field, and difficulty reading or recognising faces.

Description

A macular hole is a small gap that develops in the macula, the area of the retina responsible for sharp, straight-ahead vision. It usually occurs when the vitreous gel inside the eye pulls on the retina as part of normal ageing.

Early macular holes can cause mild distortion, while larger or full-thickness holes produce a noticeable blind spot in the centre of vision. Side vision is not affected.

Treatment is usually a surgical procedure called vitrectomy combined with a gas bubble, which helps the hole close. Most people see a useful improvement in vision, especially when the hole is treated early.