Macular Hole Symptoms and Treatment
Dr. Taylan Öztürk

Macular Hole Symptoms and Treatment
Macular Hole: What You Need to Know and Treatment Options
A macular hole is a break in the center of the area called the macula, which is located on the retina at the back of the eye. This condition can lead to vision loss and affect daily life. It is important to get detailed information about macular hole, understand the treatment options and learn about the surgical process. In this article, we will discuss what a macular hole is, its symptoms, causes, treatment methods, surgery prices and duration.
What is a Macular Hole?
Definition of Macular Hole
A macular hole is a slit in the center of the macula, a region of the retina that provides sharp vision. This area is critical for perceiving colors and details. When a macular hole occurs, the visual center is damaged, which can cause blurred or distorted vision.
Causes of Macular Hole
Factors that can lead to the appearance of a macular hole include
- Aging: Changes in the retina and macular tissue can occur with age.
- Eye Injuries: Injuries to the eye area can lead to macular hole.
- Eye Diseases: Diabetes or retinal vascular disease can increase the risk of macular hole.
- Genetic Factors: People with a family history of macular hole may be at higher risk.
Symptoms of Macular Hole
Early Symptoms
Early signs of a macular hole usually manifest themselves as changes in vision:
- Blurred vision: You may experience a blurred feeling in your vision.
- Central Loss of Vision: You may experience a loss of the central visual field.
- Distortion of Vision: Even straight lines may appear distorted.
Progressive Symptoms
As the symptoms progress, more significant vision problems may occur:
- Blind Spots: Blind spots may appear in the visual field.
- Vision Loss: Vision loss can become more pronounced and affect daily activities.
Macular Hole Diagnosis
Eye Examination
A macular hole is usually diagnosed with a comprehensive eye examination. Your doctor can make a diagnosis with the following methods:
- Eye Pressure Measurement: Intraocular pressure is measured.
- Retinal Examination: The retina and macula are examined in detail.
- OCT (Optical Coherence Tomography): Cross-sectional images of the macular layer are taken.
- OCTA (Optical Coherence Tomography Angiography): It takes cross-sectional angiographic views of the retinal layers.
Imaging Tests
Your doctor may order various imaging tests to determine the size and extent of the macular hole:
- Color Fundus Photography: Photographs are taken of the retinal layer.
- Fluorescein Angiography: Detailed images of the retinal vessels are obtained.

Macular Hole Treatment Methods
Surgical Intervention
Surgery is the most effective method for the treatment of macular hole. Some of the techniques used in surgical intervention are
Vitrectomy
Description: Vitrectomy involves removing the vitreous fluid inside the eye and replacing the macula layer. This method can help close the macular hole and improve visual function.
Procedure:
Removal of Vitreous Fluid: The fluid inside the eye is removed.
Putting the Macula Back in Place: The macular layer is put back in place and air, special gas with expansion properties or, rarely, silicone oil is injected into the eye.
Macular Hole Closure
Description: This surgical technique is a specialized procedure to close the macular hole. It is usually performed in combination with vitrectomy and involves injecting gas or liquid into the eye to close the hole.
Procedure:
Closure of the macular hole: The necessary procedures are performed to close the hole.
Gas Application: A special expandable gas is injected into the eye to support the closure of the macular hole.
Drug Treatment
Supportive medication may be used before or after surgery to treat a macular hole. These medications can reduce inflammation and support the healing process.
Eye Exercises
Eye exercises after a special gas injection into the eye can help the treatment process. The exercises can be aimed at strengthening the eye muscles and improving the quality of vision. However, exercises are often used as a supportive treatment before or after surgery.

Macular Hole Surgery: Price and Terms
Surgery Prices
The cost of macular hole surgery can vary depending on the techniques used and the patient’s condition. In general, the cost of macular hole surgery is determined by the following factors:
- Surgical Method: Methods such as vitrectomy, macular hole closure can affect prices.
- Hospital and Doctor Fees: The fees of the hospital and doctor performing the surgery can affect the total cost.
- Medication and Care: Post-operative medication and care costs may also be included in the price.
It is important to contact your doctor for detailed price information.
Surgery Times
Macular hole surgery usually takes 20 minutes to 1 hour. The duration of surgery may vary depending on the surgical method used and the patient’s condition. Postoperative recovery usually takes several weeks and requires regular eye check-ups.
How can we help you with macular hole treatment?
If you have symptoms of a macular hole or are concerned about your eye health, do not hesitate to contact our team of experts. Book an appointment now to get detailed information about macular hole treatment and find the best solution for you. We are here to protect your eye health and ensure a successful treatment process.
We Care About Your Eye Health! Contact us immediately to get detailed information about macular hole treatment and to get professional support. Contact us for a healthy eye and clear vision!