![]() Depending on the severity of a retinal hole and other factors such as your medical history, your doctor may recommend a procedure like a vitrectomy, or perhaps no treatment at all if they believe the hole may heal on its own. Every treatment plan is customized to your unique condition. This is when they will be able to evaluate retinal health and diagnose any retinal issues.Īn eye doctor can diagnose, monitor, and treat retinal problems. During a comprehensive exam, your doctor will dilate your pupil to get a good view of your retina. Some common symptoms of retinal holes are:īecause retinal holes may not always cause symptoms, it is important to follow your eye doctor’s recommendations for regular comprehensive eye exams. Oftentimes there aren’t noticeable symptoms of a retinal hole in the early stages. As we age, the interior gel-like substance which helps shape our eyes (vitreous) can shrink or separate –pulling away from the retina and causing a hole. The hole can pass fluid through, potentially causing retinal detachment which can lead to blindness.Ī common cause of retinal hole development is aging. Retinal holes should not be left undiagnosed or untreated. Reviewed and edited by Mrinali Patel Gupta, M.D.A retinal hole occurs when there is a hole or gap in the tissue at the back of the eye (the retina). Although I have read and researched a great deal and have had extensive discussions with retinal specialists, I am not an ophthalmologist or medical doctor. I was an educator of blind and visually impaired children for 42 years. My Recovery and Visual Outcomes from Macular Pseudohole SurgeryĪlso see Suggested Resources for more information about helpful products and organizations, as well as the author’s contact information.Complications I Experienced Following Vitrectomy Surgery for My Pseudohole.My Macular Pseudohole Experience and Surgery.Additional Information on Macular Pseudohole This is particularly important if you have had a macular hole, a pseudohole, or have been diagnosed with an epiretinal membrane. Monitor your vision in both eyes carefully and see your ophthalmologist promptly if conditions change. Macular pseudohole (and epiretinal membrane): Vision recovery is good and can take a year or longer.Vision recovery can take a year or longer. Macular hole: Vision recovery is typically good, usually improvement of two lines or better, as measured by the Snellen Eye Chart.Infrequently there may be insertion of air or gas, followed by a face-down recovery period. Macular pseudohole: Vitrectomy (if vision has deteriorated sufficiently) with peeling of epiretinal membrane.There is insertion of air or gas, followed by a face-down period of recovery Macular hole: Vitrectomy (removal of the vitreous), usually with peeling of the internal limiting membrane.Depending on the size and location of the break in a person’s macula, the holes can cause distorted, blurred or a dark patch in central vision. An area located in the retina on the inside back of the eyeball, the macula allows us to have sharp, central vision. Macular pseudohole (and the associated epiretinal membrane): In many cases, does not worsen Macular holes are age-related and usually affect people over 60 years old.Macular hole: Will progress without surgery.Macular pseudohole: Blurring and distortion, but to a lesser degree than with a macular hole.Macular pseudohole: Caused by traction (but a lesser amount of pulling than in a macular hole) of the epiretinal membrane.Traction on the retina by the overlying internal limiting membrane also contributes to macular hole formation. The vitreous is the jelly-like substance that fills the inside of the back part of the eye. Macular hole: Caused by a strong pulling forward of the macular area of the retina by vitreous fibers as they contract.Studies suggest there is no difference on visual outcome between ERM with pseudohole and ERM without pseudohole. Pseudohole is simply an appearance of the retina due to contraction (or pulling) from the ERM. It is the degree of this cone disruption that affects the final visual outcome. ![]()
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