A temporary gas bubble is placed in the eye to put pressure on the hole, which helps it close. When this gel is removed as well as any other membranes on the retina that causes tension on the tissue, the retina regains the elasticity to close the hole. Vitrectomy is the term for removing the vitreous gel or fibrous membrane which causes pulling inside the eye. Placing a gas bubble that will put a tamponade on the hole and cause it to close.Removing the vitreous gel that caused pulling inside the eye, and.Repair of a macular hole involves two parts: In a majority of cases, retina specialists can perform vitrectomy surgery to close the retinal hole and thus improve vision. In rare cases, the macular hole closes on its own resulting in improved vision. When the pulling is strong enough, a hole can develop in the center, causing compromise of the loss of fine vision. Macular holes occur when the portion of the vitreous gel that lies on the macula spontaneously contracts, pulling some macula with it. On the OCT (cross sectional scan), you see that there is a gap in the macula in the center. On the upper right, you see a macula with a central macular hole. This upper left photograph shows the normal retina and macula (central part of the macula) appearance. Macular holes occur most frequently in healthy people and are most common in people in their 60s and 70s.
The macula is the central part of the retina which is responsible for distinguishing small details. A macular hole is a small break or hole in the central portion of the retina, called the macula.
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