Macular Hole

macular hole

The condition known as a macular hole refers to a tiny break in the macula that results in blurry or distorted vision. To fully understand the condition, one must understand eye anatomy. The macula is a spot located in the center of the retina (the back portion of the eye). Located where light comes to a focused point in the eye, the macula is the portion of the eye most concentrated with color detecting cones and responsible for seeing clear color vision. The rest of the retina is covered with photosensitive rods, which detect darkness, light, or movement.

Symptoms

Macular hole development usually occurs gradually. As a result, the first symptoms include slight distortions of vision. For example, straight lines might appear wavy or you might have difficulty reading or recognizing faces. A sudden loss of vision in one eye usually follows these early symptoms.

Causes

A gel-like substance called vitreous fills most of the eye's interior. Millions of fibers attach the vitreous to the retina, holding it in place and maintaining the eye's round shape. Vitreous begins to shrink with age, and pull away from the retina, leaving pockets of space which become filled with fluid. Normally, this process occurs with no adverse effects. However, if the vitreous shrinks and the fibers are firmly attached, it can tear the retina. The fluid which then fills the void space can seep through the retina and pool on the macula, distorting and blurring vision.

Since most cases of macular holes develop as the result of age, individuals over the age of 60 are at the highest risk. Macular holes, however, can also develop due to injury, severe nearsightedness (myopia), retinal detachment, or macular pucker.

Diagnosis and Treatment

If left untreated, a macular hole can worsen over time, leading to permanent vision loss. If you notice any unusual eye symptoms, you should seek treatment with an eye care professional right away.

The most common treatment for a macular hole is a surgical procedure called a vitrectomy, and is performed by a retinal specialist. In this procedure vitreous gel and fibers are removed from the middle of the eye to prevent further tearing of the retina. A mixture of air and gas is then inserted into the space once filled with vitreous, putting pressure on the macular hole and allowing it to heal.

Locations

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Hours of Operation

Our Regular Schedule

Central Avenue Office

Monday:

10:00 am-7:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

Arrowhead Road Office

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

10:00 am-7:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

See What Our Patients Say!

  • "Theobald is an amazing Eye Care Clinic. The Doctors are so knowledgeable and professional. They are also fun to talk to. I absolutely love Dr. Teresa. She has been my primary eye doctor for several years. I couldn’t be happier with the clinic or their staff. Everyone there is friendly and easy to work with. The eye glass selection is great too."
    Jessica P.
  • "Just wanted to shout out to Theobald Eye Clinic-what an awesome staff you have at the Arrowhead office. My dad brought my uncle, Warren, in to get his prescription for his glasses filled this afternoon. Everything was easy and quick. Everyone is amazing. Love this staff. Very caring and kind."
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    Paul S.
  • "We LOVE Dr. Theobald and all the office staff. We have been going here for 6 years. You can tell they truly care about you."
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  • "We have been seeing Dr. Theobald for about 6 years now and they always treat us very good and take good care of our eyes!"
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  • "The Dr's and staff are very helpful and professional. My family has been going here for 8+ years and I recommend them to everyone. They also have a great selection of eyewear for any style."
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