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)

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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