![]() ![]() Macular holes can also occur from eye disorders, such as high myopia (nearsightedness), macular pucker, and retinal detachment eye disease such as diabetic retinopathy and Best's disease, and injury to the eye. In either case, the fluid that has replaced the shrunken vitreous can seep through the hole in the macula, blurring and distorting central vision. This increases tension on the retina and can lead to a macular hole. Also, once the vitreous has pulled away from the surface of the retina, some of the fibers can remain on the retinal surface and contract. However, if the vitreous is firmly attached to the retina when it pulls away, it can tear the retina and create a macular hole. Some patients may experience a small increase in floaters, which are little "cobwebs" or specks that seem to float about in your field of vision. In most cases, there are no adverse effects. Natural fluids fill the area where the vitreous has contracted. As we age, the vitreous slowly shrinks and pulls away from the retinal surface. The vitreous contains millions of fine fibers that are attached to the surface of the retina. Most of the eye's interior is filled with vitreous, a gel-like substance that fills about 80 percent of the eye and helps it maintain a round shape. An eye care professional will know the difference. Both conditions are common in people 60 years and over. Macular holes and age-related macular degeneration are two separate and distinct conditions, although the symptoms for each other are similar. Is a macular hole the same as age-related macular degeneration? Macular holes are related to aging and usually occur in people over age 60. The macula provides the sharp, central vision we need for reading, driving, and seeing fine detail.Ī macular hole can cause blurred and distorted central vision. Repair of a detached retina or macular hole may require face-down recovery.Ī macular hole is a small break in the macula, located in the center of the eye's light-sensitive tissue called the retina. A detached retina is a very serious problem that can cause severe vision loss unless it is treated. Due to aging, trauma or other eye conditions (such as myopia), a hole in the macula (macular hole) can form or the retina can be torn or pulled away from its normal position. ![]()
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