The Progress of Macular Hole
When your grandmother or grandfather reads every morning, do you notice them that holding their newspaper in an evident distance from their body? They also squint their eyes as they read the periodical. 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 of 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 those said condition, he or she has similar symptoms with macular degeneration which usually occurs before the condition progresses. However macular degeneration and macular hole have two distinct damages in the eye, as hole in the macula affects the retina and if this condition grows severe, retinal detachment can be anticipated. The vitreous gel which comprises 80 percent of the eye is in some form, a contributory factor or a conduit of 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 ageing, its fibers that are attached to the retina will be pulled away and it can tear the retina which creates a hole in the macula.
This condition is a sight-threatening condition what should receive immediate medical attention. It has three stages namely Foveal detachment (stage 1), without treatment, 50% is most likely to progress to the second stage; Partial-thickness holes (stage 2), without treatment, 70% will progress and grows severe to the last stage; and Full-thickness holes (stage 3).
To avoid the vitreous gel to eventually pull away the retina and produce macular hole, vitrectomy is done in order to allow further improvement and treatment of the condition. This procedure removes the vitreous gel and 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 had 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.
If a person is affected with those said condition, he or she has similar symptoms with macular degeneration which usually occurs before the condition progresses. However macular degeneration and macular hole have two distinct damages in the eye, as hole in the macula affects the retina and if this condition grows severe, retinal detachment can be anticipated. The vitreous gel which comprises 80 percent of the eye is in some form, a contributory factor or a conduit of 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 ageing, its fibers that are attached to the retina will be pulled away and it can tear the retina which creates a hole in the macula.
This condition is a sight-threatening condition what should receive immediate medical attention. It has three stages namely Foveal detachment (stage 1), without treatment, 50% is most likely to progress to the second stage; Partial-thickness holes (stage 2), without treatment, 70% will progress and grows severe to the last stage; and Full-thickness holes (stage 3).
To avoid the vitreous gel to eventually pull away the retina and produce macular hole, vitrectomy is done in order to allow further improvement and treatment of the condition. This procedure removes the vitreous gel and 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 had 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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