LAGUNA HILLS • SAN CLEMENTE
Orange County, California
800-974-EYES (3937)

Macular Holes

What Is a Macular Hole?

Sometimes, a small break may occur in the retina. This is known as a macular hole. Usually a macular hole occurs in patients over 60. When this occurs, patients can notice blurred or distorted central vision.

Stages of a Macular Hole

  • Foveal detachments (Stage I). Without treatment, about half of Stage I macular holes will progress.
  • Partial-thickness holes (Stage II). Without treatment, about 70 percent of Stage II macular holes will progress.
  • Full-thickness holes (Stage III). Usually the size of the hole and its location determine the amount of vision loss. If left untreated, a macular hole could lead to a retinal detachment, which can cause full and permanent blindness.

How Is a Macular Hole Treated?

Sometimes, no surgery is necessary, as macular holes can seal themselves. But surgery is often necessary to improve vision and to prevent further damage. Usually a vitrectomy is performed to remove the vitreous gel to prevent it from pulling on the retina. This vitreous is replaced with a bubble containing gas that acts as a temporary bandage to hold the macular hole in place as it heals.

Surgery is usually performed under local anesthesia on an outpatient basis. After surgery, patients must remain in a facedown position for one to two days. More difficult cases may require three weeks spent resting in such a position. This allows the air bubble to press against the macular hole as it heals. Although uncomfortable, this is a crucial step to the success of the surgery.

What Is a Macular Pucker?

A macular pucker, also commonly known as an epiretinal membrane, is scar tissue that develops around the macula. A macular pucker often causes blurred and distorted central vision. A macular pucker is also known as cellophane maculopathy, retina wrinkle, surface wrinkling retinopathy, epiretinal membrane, preretinal membrane, internal limiting membrane disease, and premacular fibrosis.

What Are the Symptoms of a Macular Pucker?

Symptoms can greatly vary from no loss to severe loss of vision. Some patients may start to notice lines appearing wavy or their vision becoming blurry. Some patients may also notice difficulty seeing fine detail when reading, or even a blind spot.

How Is a Macular Pucker Treated?

In most cases, a macular pucker doesn’t require treatment. In many cases the symptoms of blurriness or distortion are mild. Most patients can adjust to mild visual distortion, even while reading or driving a car. In some rare cases, the vision can decline to the point that daily activity becomes impossible. When this happens, surgeons will typically perform a vitrectomy. After the surgery, the patient will wear an eye patch for a few days and will also use medical eye drops for up to a few weeks to guard against infection.

 


back to top

Our Promise

As always, Harvard Eye is first and foremost concerned about what is best for each individual patient. Call us today for your personalized consultation!


Harvard Eye Associates
Laguna Hills Office

Map and Directions
24401 Calle de la Louisa
Suites 300-312
Laguna Hills, California 92653

949-951-2020
FAX: 949-356-1660
Harvard Eye Associates
San Clemente Office

Map and Directions
665 Camino de los Mares
Suites 102-103
San Clemente, California 92673

949-493-5411
FAX: 949-356-1660

The eye doctors of Harvard Eye Associates perform advanced technology diagnostic testing and treatment, as well as taking the time necessary to provide each patient with information needed to fully understand his or her condition and to achieve the best possible visual outcome.

If you or a family member or friend have not had a recent routine eye examination, have a specific eye condition that needs addressing, or are looking for an eye specialist, second opinion, or professional eye consultant please take a moment to Request an Appointment.

In The News

When exciting improvements in a current technique or product are introduced to the ophthalmic world, Harvard Eye Associates is often involved in the related clinical studies.

As a trusted, advanced clinical research study center, Harvard Eye Assoicates makes it possible to offer qualifying patients access to advancements in eye care not yet available to the general public.

Click below to see how you may benefit.


Clinical Research Study

Ask The Eye Doctor

If you have questions about your eyes, Harvard Eye Associates is here with the information you need.

We've dedicated sections of our website expressly to list of Frequently Asked Questions and Answers, covering cataract surgery, glaucoma, retina, LASIK, macular degeneration, dry eyes and more, plus an online form where you may submit questions directly to an eye doctor.

Please click below to have your questions about vision answered.


Learn More

Why Choose Us

Internationally regarded as the go-to specialist in eye care, Harvard Eye offers a combined experience of over 100 years and over 100,000 surgical procedures. The doctors of Harvard Eye Associates have treated virtually every known eye condition there is, plus a few previously unknown.


Learn More

Before Your Visit

Whether you or a loved one are having a first eye exam, a repeat eye exam, or are seeing a new eye doctor at Harvard Eye for the first time, there are a number of routine questions you can expect.

Your answers to these questions during eye exams are anything but routine for your eye doctor, so you may want to arrive prepared.


Learn More

Meet Our Patients

Read testimonials and watch videos of actual Harvard Eye Associates patients who have benefited from our professionalism, dedication, and commitment to high quality patient care.

Our offices provide patients with all eye care needs from routine eye exams to complex surgical procedures.

We are both proud and grateful that our patients have chosen to trust their vision with Harvard Eye!


Learn More

How We Give Back

Volunteer work is extremely important to Harvard Eye Associates. Twice yearly, we travel the world to teach and perform surgery to people who have no other resources, and have raised hundreds of thousands of dollars to providing medical training and supplies to developing countries.


Learn More