Condition
Macular Hole (Foveal Defect / Central Retinal Defect)
A Macular Hole (foveal defect, or central retinal defect) is a break in the macula (the center part of the retina). It causes blurred or distorted central vision.
Video Overview
Macular Hole (Foveal Defect / Central Retinal Defect)
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Symptoms
- Blurred or distorted central vision
- Dark or empty spot in the center of vision
- Objects appear wavy or bent
- Difficulty reading or recognizing faces
- Normal peripheral (side) vision
Causes
- Age-related (most common after age 60)
- High myopia (nearsightedness)
- Previous retinal detachment or surgery
- Eye trauma
- Sometimes idiopathic (no clear cause)
Treatments
- Vitrectomy surgery (removing vitreous gel and repairing hole)
- Gas bubble to help hole close
- Face-down positioning after surgery (for weeks)
- Early treatment gives better vision results
- Some holes may close without surgery
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