Macular Hole

Statistics and Associations

  • Risk factors: macular swelling, macular traction, trauma, idiopathic
  • 10-20% chance of developing macular hole in fellow eye


  • Amsler grid for daily monitoring
  • No treatment for mild macular holes due to the possibility of spontaneous closure
  • Surgical intervention (PPV with membrane peel, air-fluid exchange, gas injection). Requires face down positioning for weeks
  • Poor prognosis if macular hole has been present for one year