The Progress Of Macular Hole

The Progress Of Macular Hole

The Progress Of Macular Hole

Ever been noticing your grandmother and grandfather reading their newspaper too far from them while they squint with their eyes? This condition is normal as certain eye irregularities are rampant especially when a person ages and reaches the age of 50 and above. The macula which is the portion in our eyes which provides sharpness as we need it for reading, driving and seeing fine details is affected most of the time as the person ages. If a person is affected with a Macular Hole , he or she has similar symptoms with macular degeneration that will occur before the condition progresses. However these two have two distinct damages in the eye, as macular hole affects the retina and if this condition grows severe, retinal detachment can be anticipated. The vitreous gel which comprises 80 percent of the eye has big role in the formation of macular hole because, the proportion of vitreous gel diminishes along with the advancement of age. If this happens, as its fluid grows minimal due to aging, its fibers that are attached to the retina will be pulled away and it can tear the retina which creates a macular hole. This condition is a Macular Hole condition what should receive immediate medical attention. It has three stages namely Foveal detachment (stage I), without treatment, 50% is most likely to progress to the second stage; Partial-thickness holes (stage II), without treatment, 70% will progress and grows severe to the last stage; and Full-thickness holes (stage III). To avoid the vitreous gel to eventually pull away the retina and produce macular hole, vitrectomy, which removes the vitreous gel is done in order to allow further improvement and treatment of the condition. A bubble containing mixture of air and gas will be replace to act as an internal and temporary bandage that holds the edge of the macular hole in place as it heals. The surgery is done through local anesthesia and the outcome might be uncertain. Most surgeons consider it as "damage limitation". If complication might take place, a cataract can progress rapidly in most patients and most certain than not, the patient might be able to develop a macular hole in the other eye too. The probability is one in ten chances in most patients. Recovery from the surgery varies from patient to patient. Those who Macular Hole for less than 6 months may recover much more certainly than those who had longer experience of having macular hole. The important thing to consider post operatively is to let the patient have a head-down position maintained and monitor, so as to keep the posture in the correct place while the retina heals.

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