As we age, the vitreous ‘gel’ inside the eye naturally shrinks and pulls away from the retina. Occasionally, the vitreous gel can pull on the retina and create a macular hole. In some cases, the fluid that fills the gap left by the vitreous gel may seep through the hole onto the macula, causing blurring and distortion.
Macular Hole Surgery And Repair
A vitrectomy is the most common treatment for macular holes. In this surgery, a retinal specialist removes the vitreous gel to stop it from pulling on the retina. Then the specialist inserts a mixture of air and gas into the space once occupied by the vitreous.
Laser treatment may also be pursued in the setting of retinal break with impending retinal detachment. The definitive treatment for non-clearing vitreous hemorrhage is pars plana vitrectomy, in which the vitreous is surgically removed and replaced with saline
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