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macular hole, vitreous detachment

macular hole, vitreous detachment

Top Doctors
Top Doctors editorial
Top Doctors
Created by: Top Doctors editorial
Edited by: TOP DOCTORS® at 18/03/2019

The macular hole is a disease in which the vitreous is clear and produces a hole in the macula, causing vision problems to such an extent that the patient can not read or write

Dr. Hugo Quiroz Market

macular hole This is a relatively rare condition that for some not yet explainable reason, most often affects women and is related to the vitreous, the gel that is filling the eye on the back that is close to the retina, jala, the vitreous is clear, fractionated and produces a hole in the macula, hence the name.

This condition is relevant because the macula is the most important part of the retina, is giving finer vision, where cells of the retina called photoreceptors, so are that when this macular hole is formed vision thin decreases and the patient can not read or write.

Usually it occurs with age

This disease is always seen in adult patients, usually 50 years or more, also in women, but young people can be seen by trauma. People with blunt trauma, ie, no piercing eye but nothing more blunt trauma, this can progress to the formation of a macular hole, but the main cause of spontaneous, which appears overnight, it is only the gelatin (the vitreous of the eye) splits the macula and forms a macular hole. It has not been seen or genetic predisposition to be associated with the consumption of drugs, food or some other disease.

Vitrectomy, effective treatment

It's long been thought that there was no treatment for this disease but from 20 years several studies have found that removing the vitreous (the jelly of the eye) by a vitrectomy and membranita which is above the macular hole is removed in over 90% of patients are able to close said hole and improved vision.

Currently, most cases of macular hole can be operated and most cases can improve visual acuity.

Surgery is a relatively simple surgery for retinal surgeons because it is performed under local anesthesia, it takes the patient to the operating room, vitrectomy which takes about 40 minutes ago and finally the patient to recovery leads to a gas within the eye where you are asked to be seated with eyes down one or two days, two or three weeks and visual recovery can be seen in most patients.

No pain or discomfort

The technology currently exists to remove the vitreous is a new technology where the eye is not sutured, the patient leaves the operating room when not have any discomfort, the eye is not red. Prior to this vitrectomy a technology that was heavy gauge, 20 gauge, is now used in 27, which are very skinny was used, then you can remove the glass without making a suture so that the patient, after undergoing surgery, he has no problem burning, discomfort or pain.

Ophthalmology