Please be reassured that this is quite normal as the retina is still functioning. The amount of pressure and lights can vary due to the intensity of the local anaesthetic. This is in order to reduce the risk of a post operative complication called retinal detachment.ĭuring the operation you may be aware of pressure sensations around the eye and some shadows and lights inside the eye. If any areas of weakness are identified, you may need to have additional treatment, such as a freezing treatment (cryotherapy) or laser treatment, to those weak areas. ![]() Once this, the main part of the operation is completed, the retina lining of the eye is examined for any weak areas. At this point you will be asked to keep very still. Then, very fine forceps are used to peel away the membrane from the surface of the retina. The vitreous gel inside the eye is then removed and replaced with a salty fluid. This will enable fine surgical instruments to enter the eye. This involves making three small incisions about 1 mm in length in the white of the eye. ![]() Following the operation it can take several months for the full effect to be realised. If the hole has been present for a long time, for example more than a year, then the outcome of surgery will not be as successful. You will need to have an annual eye check with your optician and they will be able to refer you back to us if your condition changes. If you decide not have the operation you will not go blind as only the central vision is affected by this condition, however it is likely that your eye sight will deteriorate further. There is a 1 in 10 risk of you having a macular hole develop in the other eye depending on the state of the vitreous jelly in the eye. However you will retain your peripheral or side vision. If you decide not to be treated you will most likely notice further loss of central vision. It is important to realise that this condition is not the same as age related macular degeneration. You may also experience some distortion of straight lines and a loss of your central vision, where letters from a page of writing can seem to disappear. ![]() You will be aware of a defect or dark spot in the centre of your vision and may also be aware of reduced near and distance vision. For patients who have developed a macular hole as a result of their vitreous shrinking, they may notice a number of symptoms. In the majority of people, if their vitreous shrinks, it does not cause any problems and there is no damage to their vision. As the vitreous has shrunk, it has pulled away from the retina, causing a hole or tear to form. The most sensitive part of the retina is its centre and this is called the macula.Ī macular hole is a hole or a tear in the central macular region of the retina, this can form when the vitreous (a clear, jelly like substance) inside the eye has shrunk. The inner lining of the back of the eye is called the retina it functions much like the film in a camera and transmits light signals to the brain. If after reading this leaflet you have any concerns or require any further explanations, please discuss this with a member of the healthcare team. Most of your questions should be answered by this leaflet but it is not intended to replace the discussion between you and the healthcare team it may act as a starting point for discussion. This leaflet has been produced to provide you with general information about your condition. Need some help choosing a language? Please refer to Browsealoud Supported Voices and Languages. ![]() You can translate this page by using the headphones button (bottom left) and then select the globe to change the language of the page.
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